Idelisa Lorenzo Garcia, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23256 Issued in PR

Practice address

12582 US Highway 19
Hudson, FL 34667-1952

Phone

(727) 516-8806

Fax

(727) 436-3883

NPI assigned

Aug 3, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

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

Specialty

General Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Centerwell Senior Primary Care FL JV PLLCGroup PAC ID 5698206167, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (5 of 7)

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HIBHCD
• FHIR API: https://fhir4.healow.com/fhir/r4/CIDHCD
• Direct secure messaging: idelisa.lorenzo.garcia.2@29601.direct.athenahealth.com

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.

• Centerwell Senior Primary Care FL JV PLLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1003643214

  General Practice

  Medicare reassignment Care Compare group NPD
• Hernando Pasco Primary Care LLC

  • Internal Medicine Physician
  • Lutz, FL
  • NPI 1245273093

  General Practice

  Medicare reassignment NPD
• Centerwell Senior Primary Care FL JV PLLC

  • Internal Medicine Physician
  • Hudson, FL
  • NPI 1356178578

  General Practice

  NPD
• Centerwell Senior Primary Care FL JV PLLC

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1467279083

  General Practice

  NPD
• Centerwell Senior Primary Care FL JV PLLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1003646308

  General Practice

  NPD (past)

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1972113249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12582 US HIGHWAY 19",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346671952",
            "telephone_number": "727-516-8806",
            "fax_number": "727-436-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZO GARCIA",
        "first_name": "IDELISA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUERTO RICO MEDICAL LICENCE",
            "identifier": "23256",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "idelisa.lorenzo.garcia.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "idelisa.lorenzo.garcia.2@29601.direct.athenahealth.com",
            "address_1": "12582 US Highway 19",
            "city": "Hudson",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346671952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "idelisa.lorenzo.garcia.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "idelisa.lorenzo.garcia.1@29601.direct.athenahealth.com",
            "address_1": "12582 US Highway 19",
            "city": "Hudson",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346671952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Living Center of Bayonet Point by Harborview LLC
• Mark Alan Logan, PHARM.D.
• Lusiana Loman, M.D.
• Oscar Vincent Lopez, P.T.
• Rachel Lopez
• Loretta L Mercer Inc
• Bosten Loveless, DO
• John J Lozano, MD
• Emily Katherine Lucci, DPT
• Darian Lupton, DNP, CRNA

• General Practice Physician in Hudson, FL
• Providers in Hudson, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.