Active NPI
Teresa Irizarry Quiles, MD
- Family Medicine Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME160911
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME160911 | FL | MD | Family Medicine Physician |
| S2600 | TX | MD | Family Medicine Physician |
| 19251 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Employee Assistance Program Inc | Single Specialty | Current | Accepting new patients |
| Dedicated Senior Medical Center of Florida, LLC | Single Specialty | Current | Accepting new patients |
| Dedicated Senior Medical Center of Florida, LLC | Single Specialty | Current | Accepting new patients |
| Regional Employee Assistance Program Inc | Single Specialty | Current | 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.
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Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.