Idalis Maceo Herrera

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11041800 Issued in FL

Practice address

4090 SW 133Rd LN
Ocala, FL 34473-1947

Phone

(717) 623-4548

NPI assigned

Sep 2, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1982583027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4090 SW 133RD LN",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344731947",
            "telephone_number": "717-623-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4090 SW 133RD LN",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344731947",
            "telephone_number": "717-623-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACEO HERRERA",
        "first_name": "IDALIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11041800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Veronica Machado, M.D.
• Suzanne F. Machuca, PHARM.D
• Nicholas F Machupa, PT
• Mack Chiropractic, LLC
• Martha L Mackay, RNFA

• Family Nurse Practitioner in Ocala, FL
• Providers in Ocala, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.