NPIMap

Individual provider Active NPI

Vicente Maco-Flores, M.D.

  • Infectious Disease Physician
  • Rockledge, FL
National Provider Identifier
1710173547
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME117647 Issued in FL
Practice address
835 Executive LN
#110
Rockledge, FL 32955-3590
Phone
(321) 806-3949
Fax
(321) 806-3945
NPI assigned
Sep 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Infectious Disease Physician 207RI0200X ME117647 FL Primary

Addresses

Primary practice location

835 Executive LN
#110
Rockledge, FL 32955-3590

Mailing address

PO Box 560361
Rockledge, FL 32956-0361
Phone (386) 328-6746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131210001037 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 7012144413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

205 Zeagler Dr
Suite 501
Palatka, FL 32177-3887
Phone (386) 223-6504

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue48
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME117647FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Diseases & Tropical Medicine PA Infectious Disease CurrentSince Aug 1, 2017 Accepting new patients
Rishi & Srikanth P a Infectious Disease CurrentSince Nov 1, 2013 Accepting new patients
St. Pete Endocrinology Associates, P.a. Past Accepting new patients

Locations

205 Zeagler Dr
Ste 501
Palatka, FL 32177
Phone (386) 325-9600

205 Zeagler Dr
Ste 101
Palatka, FL 32177
Phone (321) 806-3949

835 Executive Ln
Ste 110
Rockledge, FL 32955
Phone (321) 638-2075

7955 Bay St
Ste 2
Sebastian, FL 32958
Phone (321) 806-3949

502 Garden St
Titusville, FL 32796
Phone (321) 383-0298

Organizations & group practices 3

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

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1710173547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560361",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329560361",
            "telephone_number": "386-328-6746",
            "fax_number": "321-633-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 EXECUTIVE LN",
            "address_2": "#110",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553590",
            "telephone_number": "321-806-3949",
            "fax_number": "321-806-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACO-FLORES",
        "first_name": "VICENTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-14",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME117647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.