Individual provider Active NPI

Mercedes De Los Angeles Cabaleiro, M.D.

  • General Practice Physician
  • Kissimmee, FL
National Provider Identifier
1902931363
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN315 Issued in FL
Practice address
1609 E Vine St
Kissimmee, FL 34744-3733
Phone
(407) 944-1319
Fax
(305) 675-5753
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15961 PR
General Practice Physician 208D00000X ACN315 FL Primary

Addresses

Primary practice location

1609 E Vine St
Kissimmee, FL 34744-3733

Mailing address

8000 Biscayne Blvd
Miami, FL 33138-4621
Phone (305) 759-4778

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
I20121107000224 FL Practitioner - General Practice 6901057678 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Department of HealthGroup PAC ID 3072424282, 126 clinicians

Practice addresses (Care Compare)

1875 Fortune Rd
Kissimmee, FL 34744-4428
Phone (407) 343-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15961PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Sep 26, 2018 Accepting new patients
Sunshine Specialty Health Care, LLC CurrentSince Aug 16, 2023 Accepting new patients
Sodo Supportive Health Outreach Foundation, Inc. General Practice CurrentSince Nov 21, 2025 Accepting new patients
M. Cabaleiro MD, LLC General Practice CurrentSince Oct 1, 2025 Accepting new patients

Locations

1875 Fortune Rd
Kissimmee, FL 34744
Phone (407) 343-2000

1727 Orlando Central Pkwy
Ste 201
Orlando, FL 32809
Phone (407) 888-5980

220 E Gore St
Orlando, FL 32806
Phone (407) 325-1299

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1902931363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 BISCAYNE BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331384621",
            "telephone_number": "305-759-4778",
            "fax_number": "305-675-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 E VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443733",
            "telephone_number": "407-944-1319",
            "fax_number": "305-675-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALEIRO",
        "first_name": "MERCEDES",
        "middle_name": "DE LOS ANGELES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15961",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.