Active NPI
Maria E Fraguada, MA.
- Marriage & Family Therapist
- Orlando, FL
National Provider Identifier
1710297437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMT1226
- Practice address
- 3400 Hunter's Creek Blvd
Orlando, FL 32837 - Phone
- (407) 415-2493
- Fax
- (888) 216-6045
- NPI assigned
- Oct 15, 2010
- Last updated
- May 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMT1226 | FL | Primary |
Addresses
Primary practice location
3400 Hunter's Creek Blvd
Orlando, FL 32837
Mailing address
PO Box 771794
Orlando, FL 32877-1794
Phone (407) 694-7708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMT1226 | FL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life & Work Soulutions, Inc. | Past | Accepting new patients |
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.
-
- Case Management Agency
- Orlando, FL
- NPI 1447688338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494201600000",
"number": "1710297437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 771794",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328771794",
"telephone_number": "407-694-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 HUNTER'S CREEK BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32837",
"telephone_number": "407-415-2493",
"fax_number": "888-216-6045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAGUADA",
"first_name": "MARIA",
"middle_name": "E",
"credential": "MA.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-15",
"last_updated": "2017-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "IMT1226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.