Active NPI
Marizol Fontanez, PA-C
- Medical Physician Assistant
- Orlando, FL
National Provider Identifier
1801896808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9103289
- Practice address
- 3885 Oakwater Cir
Orlando, FL 32806-6257 - Phone
- (407) 851-5600
- Fax
- (407) 438-9561
- NPI assigned
- Jul 31, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9103289 | FL | Primary |
Addresses
Primary practice location
3885 Oakwater Cir
Orlando, FL 32806-6257
Mailing address
3885 Oakwater Cir
Orlando, FL 32806-6257
Phone (407) 816-5700
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3885 Oakwater Cir
Orlando, FL 32806-6257
Phone (407) 816-5700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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 and National Provider Directory roles.
-
- Nephrology Physician
- Orlando, FL
- NPI 1346954138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687046400000",
"number": "1801896808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3885 OAKWATER CIR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328066257",
"telephone_number": "407-816-5700",
"fax_number": "407-438-9561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3885 OAKWATER CIR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328066257",
"telephone_number": "407-851-5600",
"fax_number": "407-438-9561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTANEZ",
"first_name": "MARIZOL",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-31",
"last_updated": "2023-06-18",
"certification_date": "2023-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9103289",
"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 Jun 18, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.