Active NPI
Mauricio Rosero
- Family Medicine Physician
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME 122688
- Practice address
- 3759 Pleasant Hill Rd
Kissimmee, FL 34746-2937 - Phone
- (863) 419-2723
- NPI assigned
- Apr 4, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME122688 | FL | |
| Family Medicine Physician | 207Q00000X | ME 122688 | FL | Primary |
Addresses
Primary practice location
3759 Pleasant Hill Rd
Kissimmee, FL 34746-2937
Mailing address
3759 Pleasant Hill Rd
Kissimmee, FL 34746-2937
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of South Florida College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2445 Sw76Th St
Suite 110
Gainesville, FL 32608-0350
Phone (325) 872-5111
Hospital & facility affiliations
- Adventhealth Deland
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 122688 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Professionals PA | Current | Accepting new patients | |
| Emergency Physicians Medical Center LLC | Current | Accepting new patients | |
| Emergency Physicians Medical Center, LLC | Current | Accepting new patients |
Locations
701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160
9181 NW 39th Ave
Gainesville, FL 32606
Phone (352) 872-5111
2445 SW 76th St
Ste 110
Gainesville, FL 32608
Phone (325) 872-5111
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
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.
-
- Urgent Care Clinic/Center
- Gainesville, FL
- NPI 1598908584
-
- Emergency Medicine Physician
- Deland, FL
- NPI 1205880853
-
- Urgent Care Clinic/Center
- Gainesville, FL
- NPI 1861897480
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Deland, FL
- NPI 1649367269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1710243670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3759 PLEASANT HILL RD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347462937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3759 PLEASANT HILL RD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347462937",
"telephone_number": "863-419-2723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSERO",
"first_name": "MAURICIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-04",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME122688",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME 122688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.