Gerardo Feliciano-Vasquez, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME105191 Issued in FL

Practice address

3502 Molona Dr
Orlando, FL 32837-5828

Phone

(407) 300-2936

NPI assigned

Nov 29, 2005

Last updated

Oct 12, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 11

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cogent Healthcare of Fort Myers, LLC

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1952352163
  NPD (past)
• Inpatient Specialists of Southwest

  • Internal Medicine Physician
  • Cape Coral, FL
  • NPI 1548523087
  NPD (past)
• Healthland Housecall Services LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Warren, MI
  • NPI 1760029581
  NPD (past)
• Healthland P C

  • Gerontology Nurse Practitioner
  • Warren, MI
  • NPI 1346304748
  NPD (past)
• Home Health Management PC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1073683082
  NPD (past)
• Specialist Home Care Doctors, P.C.

  • Home Health Agency
  • Novi, MI
  • NPI 1659558153
  NPD (past)
• Tricity Medical Centers, P.C.

  • Obstetrics & Gynecology Physician
  • Dearborn, MI
  • NPI 1922054485
  NPD (past)

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1942283429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 MOLONA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328375828",
            "telephone_number": "407-300-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 MOLONA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328375828",
            "telephone_number": "407-300-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO-VASQUEZ",
        "first_name": "GERARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301071373",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME105191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104953941",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "110H229590",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST HEALTH CARE",
            "identifier": "201340828",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DE030Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN PLAZA DE LA SALUD OFFICE",
            "identifier": "DE030Y",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWEST HEALTH PLAN",
            "identifier": "025020",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ADVANTAGE",
            "identifier": "0N985000011",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "148P1",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DE030Y  OFFICE PRACT",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002278300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TOTAL HEALTH CARE",
            "identifier": "8042",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nidia Feliberti, LCSW
• Nidia Xaymara Feliberti
• Kianna Vivianna Feliciano Mercado
• Habibi Elbard Feliciano Perez, LCSW
• Nahir Arleen Feliciano-Mendez, DPT
• Aitza Giselle Feliciano, M.S. CF-SLP
• Darien Feliciano
• Esther Feliciano, BS
• Janilyz Feliciano, SLP
• Lesbia Feliciano

• Internal Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.