Active NPI
Margarita Mercedes Vendrell, M.D.
- Family Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME71818
- Practice address
- 12276 San Jose Blvd
Ste. 608
Jacksonville, FL 32223-8628 - Phone
- (904) 446-9205
- Fax
- (904) 446-9250
- NPI assigned
- Jul 14, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME71818 | FL | Primary |
Addresses
Primary practice location
12276 San Jose Blvd
Ste. 608
Jacksonville, FL 32223-8628
Mailing address
12276 San Jose Blvd Ste 608
Jacksonville, FL 32223-8672
Phone (904) 446-9205
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 255038500 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ponce School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12276 San Jose Blvd
Suite 608
Jacksonville, FL 32223-8672
Phone (904) 446-9205
Hospital & facility affiliations
- Community Hospice of Northeast Florida Inc
- Baptist Health Medical Center - Jacksonville
- Flagler Hospital
- HCA Florida Memorial Hospital
- Brooks Rehabilitation Hospital University Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Margarita M Vendrell MD PA | Family Medicine | Current | Accepting new patients |
| Physicians Group Services PA | Family Medicine | Past | Accepting new patients |
Locations
12276 San Jose Blvd
Ste 608
Jacksonville, FL 32223
Phone (904) 446-9205
Interoperability endpoints
- margarita.vendrell.1@10035.direct.athenahealth.com
- https://api.platform.athenahealth.com/10035/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1740460138
-
- Family Medicine Physician
- Orange Park, FL
- NPI 1861440810
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Jacksonville, FL
- NPI 1134126774
-
- General Acute Care Hospital
- St Augustine, FL
- NPI 1144211020
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1376114413
Inpatient rehabilitation facility
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1912947748
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1851317580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12276 SAN JOSE BLVD STE 608",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322238672",
"telephone_number": "904-446-9205",
"fax_number": "904-446-9250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12276 SAN JOSE BLVD",
"address_2": "STE. 608",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322238628",
"telephone_number": "904-446-9205",
"fax_number": "904-446-9250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENDRELL",
"first_name": "MARGARITA",
"middle_name": "MERCEDES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME71818",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "255038500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.