Individual provider Active NPI

Celena Vinent Carbonell, MD

  • General Practice Physician
  • Port Richey, FL
National Provider Identifier
1770043507
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
1260 Issued in FL
Practice address
5721 Richey Dr
Port Richey, FL 34668-6057
Phone
(727) 807-9754
NPI assigned
Mar 20, 2019
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 1260 FL
General Practice Physician 208D00000X 1260 FL Primary
General Practice Physician 208D00000X 21476 PR

Addresses

Primary practice location

5721 Richey Dr
Port Richey, FL 34668-6057

Mailing address

3251 N McMullen Booth Rd Ste 303
Clearwater, FL 33761-2022
Phone (727) 725-6110

Other practice location 1

4714 N Armenia Ave Ste 100
Tampa, FL 33603-2603
Phone (855) 226-6633

Other practice location 2

4019 W Waters Ave
Tampa, FL 33614-1949
Phone (813) 392-2164

Other practice location 3

1001 N Macdill Ave
Ste B
Tampa, FL 33607-5152
Phone (813) 324-5688

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191015000654 PR Practitioner - General Practice 7719218296 Reassigns benefits to 1 organization
Practice locations: San Juan, PR
I20200824000269 FL Practitioner - General PracticePractitioner - Family Practice 7719218296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bowman and Hampsey Medical Clinic IncGroup PAC ID 4587893714, 7 clinicians

Practice addresses (Care Compare)

5721 Richey Dr
Port Richey, FL 34668-6057
Phone (727) 807-9754

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1260FLMDPrimary Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Vista Hospital Inc CurrentSince Nov 30, 2019 Accepting new patients
Bowman & Hampsey Medical Clinic, Inc Primary Care CurrentSince Dec 18, 2023 Accepting new patients
The Right Spinal Clinic Inc CurrentSince Jul 3, 2020 Accepting new patients
Centro Medico del Turabo Inc General Practice Current Accepting new patients
Centro Medico del Turabo Inc CurrentSince Nov 30, 2019 Accepting new patients
The Right Spinal Clinic Inc CurrentSince Jul 3, 2020 Accepting new patients
Bowman & Hampsey Mdspa PastSince Dec 17, 2023 Accepting new patients

Locations

3251 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-6110

3251 N McMullen Booth Rd
Ste 303
Clearwater, FL 33761
Phone (727) 725-6110

1749 Main St
Dunedin, FL 34698

5721 Richey Dr
Port Richey, FL 34668
Phone (727) 807-9754

4019 W Waters Ave
Ste E
Tampa, FL 33614
Phone (813) 392-2164

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: celena.vinent.carbonell.1@967.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21622/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/967/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1770043507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 N MCMULLEN BOOTH RD STE 303",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612022",
            "telephone_number": "727-725-6110",
            "fax_number": "727-669-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 RICHEY DR",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686057",
            "telephone_number": "727-807-9754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4714 N Armenia Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336032603",
            "country_code": "US",
            "telephone_number": "855-226-6633",
            "fax_number": "866-285-7068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4019 W Waters Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336141949",
            "country_code": "US",
            "telephone_number": "813-392-2164",
            "fax_number": "813-442-5052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 N MACDILL AVE",
            "address_2": "STE B",
            "address_purpose": "LOCATION",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075152",
            "country_code": "US",
            "telephone_number": "813-324-5688",
            "fax_number": "813-549-3229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINENT CARBONELL",
        "first_name": "CELENA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "1260",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "1260",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21476",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

Verify at the official NPI Registry.