Individual provider Active NPI

Harry R Cuevas Bocanegra, M.D.

  • Pediatrics Physician
  • Orlando, FL
National Provider Identifier
1932168762
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ACN530 Issued in FL
Practice address
4445 S Semoran Blvd
Orlando, FL 32822-2469
Phone
(407) 203-8957
Fax
(855) 296-8047
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ACN530 FL Primary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X 9694 PR
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X ACN530 FL

Addresses

Primary practice location

4445 S Semoran Blvd
Orlando, FL 32822-2469

Mailing address

4445 S Semoran Blvd
Orlando, FL 32822-2469
Phone (407) 203-8957

Other identifiers 1

IdentifierTypeStateIssuer
010204300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9694PRMDPediatric Emergency Medicine (Emergency Medicine) Physician
ACN530FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Compassion Pediatrics LLC Pediatrics PastSince Apr 25, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19494/brand/1/csg/1/fhir/r4
  • Direct secure messaging: harry.cuevas.1@19494.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1932168762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328222469",
            "telephone_number": "407-203-8957",
            "fax_number": "855-296-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328222469",
            "telephone_number": "407-203-8957",
            "fax_number": "855-296-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUEVAS BOCANEGRA",
        "first_name": "HARRY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ACN530",
            "primary": true
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "PR",
            "license": "9694",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "FL",
            "license": "ACN530",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010204300",
            "state": "FL"
        }
    ],
    "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 Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.