Individual provider Active NPI

Elba Idelisse Arroyo-Velez, M.D.

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1962654228
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME102561 Issued in FL
Practice address
1903 E Fletcher Ave
Tampa, FL 33612-3713
Phone
(813) 344-1084
Fax
(813) 803-5444
NPI assigned
Oct 17, 2008
Last updated
May 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME102561 FL Primary

Addresses

Primary practice location

1903 E Fletcher Ave
Tampa, FL 33612-3713

Mailing address

1903 E Fletcher Ave
Tampa, FL 33612-3713
Phone (813) 344-1084

Other identifiers 1

IdentifierTypeStateIssuer
002585000MedicaidFL

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
I20091210000238 FL Practitioner - Family PracticePractitioner - Geriatric Medicine 7416097118 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Verimed Health Group, Riverview LLC CurrentSince Jul 1, 2014 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Mar 1, 2022 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Mar 1, 2022 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

9366 Balm Riverview Rd
Riverview, FL 33569
Phone (813) 672-3200

11924 Balm Riverview Rd
Riverview, FL 33569
Phone (813) 672-3200

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1962654228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123713",
            "telephone_number": "813-344-1084",
            "fax_number": "813-803-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123713",
            "telephone_number": "813-344-1084",
            "fax_number": "813-803-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARROYO-VELEZ",
        "first_name": "ELBA",
        "middle_name": "IDELISSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME102561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002585000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.