Individual provider Active NPI

Carla D Fuentes-Blanco, ARNP

  • Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1972816056
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9191793 Issued in FL
Practice address
20 E Melbourne Ave Ste 101
Melbourne, FL 32901-5970
Phone
(321) 312-1167
Fax
(321) 312-1201
NPI assigned
Jul 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9191793 FL Primary

Addresses

Primary practice location

20 E Melbourne Ave Ste 101
Melbourne, FL 32901-5970

Mailing address

601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (727) 322-3439

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120606000420 FL Practitioner - Nurse Practitioner 0446414312 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Medical Associates LLCGroup PAC ID 0648271155, 162 clinicians

Practice addresses (Care Compare)

20 E Melbourne Ave
Suite 101
Melbourne, FL 32901-5970
Phone (321) 312-1167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caremax Medical Centers of Central Florida LLC CurrentSince Feb 13, 2023 Accepting new patients
Caremax Medical Centers of Central Florida, LLC Current Accepting new patients
Interamerican Medical Center Group LLC CurrentSince Nov 1, 2024 Accepting new patients
Florida Medical Associates LLC CurrentSince Jun 23, 2025 Accepting new patients
Claremedica Viking LLC CurrentSince Feb 3, 2025 Accepting new patients
Caremax Medical Centers of Central Florida, LLC CurrentSince Feb 13, 2023 Accepting new patients
Interamerican Medical Center Group LLC CurrentSince Nov 1, 2024 Accepting new patients
Interamerican Medical Center Group LLC Current Accepting new patients
National Family Medical Associates, LLC PastSince Jun 23, 2025 Accepting new patients
Senior Medical Associates LLC Past Accepting new patients

Locations

493 State Road 436
Casselberry, FL 32707
Phone (321) 235-6230

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

20 E Melbourne Ave
Ste 101
Melbourne, FL 32901
Phone (321) 312-1167

1000 NW 57th Ct
Ste 400
Miami, FL 33126

15105 NW 77th Ave
Fl 4
Miami Lakes, FL 33014
Phone (305) 455-2737

5564 E Grant St
Orlando, FL 32822
Phone (321) 235-6230

2164 S Chickasaw Trl
Orlando, FL 32825
Phone (407) 985-5677

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

7208 N Sterling Ave
Tampa, FL 33614
Phone (813) 932-6600

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: carla.fuentesblanco@sl.eclinicaldirectplus.com

Organizations & group practices 11

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": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1972816056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "727-322-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E MELBOURNE AVE STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015970",
            "telephone_number": "321-312-1167",
            "fax_number": "321-312-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES-BLANCO",
        "first_name": "CARLA",
        "middle_name": "D",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9191793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.