Orlando Enrique Mieles, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN628 Issued in FL

Practice address

500 Vonderburg Dr Ste 305
Brandon, FL 33511-5976

Phone

(813) 651-0005

Fax

(813) 902-7234

NPI assigned

Jun 20, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

General Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Santurce Medical Center LLC

  • General Practice Physician
  • Brandon, FL
  • NPI 1649725029
  Medicare reassignment NPD Authorized official
• Family & OB GYN Health Care

  • Obstetrics & Gynecology Physician
  • Rio Piedras, PR
  • NPI 1467866970
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1700149143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 VONDERBURG DR STE 305",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115976",
            "telephone_number": "813-651-0005",
            "fax_number": "813-902-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VONDERBURG DR STE 305",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115976",
            "telephone_number": "813-651-0005",
            "fax_number": "813-902-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIELES",
        "first_name": "ORLANDO",
        "middle_name": "ENRIQUE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-20",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18847",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014928700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shera Michel, APRN
• Michelle Diehl, Psy.D., R.N., PL
• Albert Mickens Jr., BS
• Midflorida Clinical Research,Inc
• Alexandra Maeve Miele
• Tammy L Mielnik, PT
• Hany Botros Mikhail, MD
• Amy Michele Milam, EDD, NCSP
• Jennifer Jaye Milam, ARNP
• Rachel Miles

• General Practice Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.