Individual provider Active NPI

Rene E Disotuar Abad, MD

  • General Practice Physician
  • Sun City Center, FL
National Provider Identifier
1780019026
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME130840 Issued in FL
Practice address
1647 Sun City Center PLZ Ste 104
Sun City Center, FL 33573-5334
Phone
(813) 278-7796
Fax
(813) 379-2479
NPI assigned
Sep 5, 2013
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME130840 FL Primary

Addresses

Primary practice location

1647 Sun City Center PLZ Ste 104
Sun City Center, FL 33573-5334

Mailing address

8333 NW 53Rd St FL 6
Doral, FL 33166-4783

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
I20130926000267 FL Practitioner - General Practice 5890939128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cano Health, LLCGroup PAC ID 1759565047, 141 clinicians

Practice addresses (Care Compare)

1507 N John Young Pkwy
Kissimmee, FL 34741-3214
Phone (855) 226-6633

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ebenezer Medical Center LLC Current Accepting new patients
Humanitary Medical Center, Inc. General Practice CurrentSince Apr 6, 2020 Accepting new patients
Cano Health, LLC General Practice CurrentSince Jan 1, 2021 Accepting new patients

Locations

8333 NW 53rd St
Fl 6
Doral, FL 33166

646 W Palm Dr
Ste 300
Homestead, FL 33034
Phone (305) 245-3750

1507 N John Young Pkwy
Kissimmee, FL 34741
Phone (321) 402-7829

9725 NW 117th Ave
Ste 200
Medley, FL 33178
Phone 9545149360 ext. 8515

680 N University Dr
Pembroke Pines, FL 33024
Phone (954) 538-6868

10508 Gibsonton Dr
Riverview, FL 33578
Phone (813) 741-2100

4160 N Armenia Ave
Ste A
Tampa, FL 33607
Phone (786) 534-8366

6607 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 499-1500

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rene.disotuar@chealth.eclinicaldirectplus.com

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, 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": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1780019026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 NW 53RD ST FL 6",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 SUN CITY CENTER PLZ STE 104",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735334",
            "telephone_number": "813-278-7796",
            "fax_number": "813-379-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISOTUAR ABAD",
        "first_name": "RENE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-05",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME130840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

Verify at the official NPI Registry.