Individual provider Active NPI

Monique Dieuvil, M.D.

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1770804148
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME120265 Issued in FL
Practice address
7243 Della Dr FL 3
Orlando, FL 32819-5104
Phone
(407) 381-7366
Fax
(321) 203-4625
NPI assigned
Jun 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MT197842 PA
Family Medicine Physician 207Q00000X ME120265 FL Primary

Addresses

Primary practice location

7243 Della Dr FL 3
Orlando, FL 32819-5104

Mailing address

7243 Della Dr FL 3
Orlando, FL 32819-5104
Phone (407) 381-7366

Other identifiers 3

IdentifierTypeStateIssuer
MT197842OtherPAGRADUATE MEDICAL TRAINEE LICENSE
MD450047OtherPAPA UNRESTRICTED MEDICAL LICENSE
ME120265OtherFLFLORIDA UNRESTRICTED MEDICAL LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170530000296 FL Practitioner - Family Practice 6406072529

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME120265FLMDFamily Medicine Physician
MT197842PAMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1276905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1770804148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7243 DELLA DR FL 3",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195104",
            "telephone_number": "407-381-7366",
            "fax_number": "321-203-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7243 DELLA DR FL 3",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195104",
            "telephone_number": "407-381-7366",
            "fax_number": "321-203-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEUVIL",
        "first_name": "MONIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-19",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MT197842",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME120265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRADUATE MEDICAL TRAINEE LICENSE",
            "identifier": "MT197842",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA UNRESTRICTED MEDICAL LICENSE",
            "identifier": "MD450047",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA UNRESTRICTED MEDICAL LICENSE",
            "identifier": "ME120265",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.