Individual provider Active NPI

Teresa Irizarry Quiles, MD

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1851744189
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME160911 Issued in FL
Practice address
690 S Goldenrod Rd
Orlando, FL 32822-8108
Phone
(407) 792-1144
Fax
(407) 232-9807
NPI assigned
Jul 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X S2600 TX
General Practice Physician 208D00000X 19251 PR
Family Medicine Physician 207Q00000X ME160911 FL Primary

Addresses

Primary practice location

690 S Goldenrod Rd
Orlando, FL 32822-8108

Mailing address

690 S Goldenrod Rd
Orlando, FL 32822-8108
Phone (407) 792-1144

Other practice location 1

77 Calle Malagueta
Isabela, PR 00662-3291
Phone (939) 272-7543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190909001174 TX Practitioner - Family Practice 4183953631 Reassigns benefits to 1 organization
I20230223002278 FL Practitioner - Family Practice 4183953631 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME160911FLMDFamily Medicine Physician
S2600TXMDFamily Medicine Physician
19251PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc Single Specialty CurrentSince Sep 16, 2019 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC Single Specialty CurrentSince Feb 13, 2023 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC Single Specialty CurrentSince Feb 13, 2023 Accepting new patients
Regional Employee Assistance Program Inc Single Specialty CurrentSince Sep 16, 2019 Accepting new patients

Locations

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

690 S Goldenrod Rd
Orlando, FL 32822
Phone (407) 628-6117

4415 S Zapata Hwy
Ste 100
Laredo, TX 78046
Phone (956) 724-5525

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1851744189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 S GOLDENROD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228108",
            "telephone_number": "407-792-1144",
            "fax_number": "407-232-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 S GOLDENROD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228108",
            "telephone_number": "407-792-1144",
            "fax_number": "407-232-9807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Calle Malagueta",
            "address_purpose": "LOCATION",
            "city": "Isabela",
            "state": "PR",
            "postal_code": "006623291",
            "country_code": "US",
            "telephone_number": "939-272-7543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRIZARRY QUILES",
        "first_name": "TERESA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S2600",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19251",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME160911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.