Lilian P Obrero Gines, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME88628 Issued in FL

Practice address

9957 Moorings Dr
204
Jacksonville, FL 32257-2412

Phone

(904) 513-4947

Fax

(904) 513-4948

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1770630709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SHEFFIELD PARK CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322252667",
            "telephone_number": "904-221-1658",
            "fax_number": "904-221-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9957 MOORINGS DR",
            "address_2": "204",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322572412",
            "telephone_number": "904-513-4947",
            "fax_number": "904-513-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINES",
        "first_name": "LILIAN",
        "middle_name": "P OBRERO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME88628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Patrick Gilstrap, DNP, CRNA
• Latoria Gilyard, BACHLORS
• Denise C Ginart, M.D.
• Amanda Leigh Ginchereau
• Erica Eleanor Gindle
• Erin Ginn, OTR
• Brittney Moore Ginsburg, DO
• William Wilcher Ginsburg, M.D.
• Holli Giordano
• Kristen Giordano, PA-C

• Family Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.