Active NPI
Maria Del Carmen Freire, PA
- Physician Assistant
- Ocoee, FL
National Provider Identifier
1700392172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1510 Citrus Medical CT
Ocoee, FL 34761-4547 - Phone
- (407) 480-4830
- Fax
- (407) 480-4834
- NPI assigned
- Dec 21, 2017
- Last updated
- May 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1510 Citrus Medical CT
Ocoee, FL 34761-4547
Mailing address
10325 Birch Tree LN
Windermere, FL 34786-8021
Phone (407) 951-1677
Other names 1
- Maria Del Carmen Mandry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Networks
- Freedom Health HMO Network
Interoperability endpoints
- maria.friere@woendo.directbygreenway.com
Organizations & group practices 1
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Ocoee, FL
- NPI 1225688237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589846400000",
"number": "1700392172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10325 BIRCH TREE LN",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347868021",
"telephone_number": "407-951-1677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 CITRUS MEDICAL CT",
"city": "OCOEE",
"state": "FL",
"postal_code": "347614547",
"telephone_number": "407-480-4830",
"fax_number": "407-480-4834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREIRE",
"first_name": "MARIA",
"middle_name": "DEL CARMEN",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-21",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "MANDRY",
"middle_name": "DEL CARMEN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.