Active NPI
Lillian Reguero, M.D.
- Pediatrics Physician
- Orlando, FL
National Provider Identifier
1992795942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0043680
- Practice address
- 3431 S. Orange Ave
Suite B
Orlando, FL 32806-8508 - Phone
- (407) 422-8873
- Fax
- (407) 425-4294
- NPI assigned
- Oct 21, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | ME0043680 | FL | |
| Pediatrics Physician | 208000000X | ME0043680 | FL | Primary |
Addresses
Primary practice location
3431 S. Orange Ave
Suite B
Orlando, FL 32806-8508
Mailing address
3431 S. Orange Ave
Suite B
Orlando, FL 32806-8508
Phone (407) 422-8873
Other practice location 1
94 W Underwood St
Orlando, FL 32806-1100
Phone (407) 422-8873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0043680 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perinatal Center, PA | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Past | Accepting new patients |
Locations
3431 S Orange Ave
Ste B
Orlando, FL 32806
Phone (407) 422-8873
94 Underwood St
Orlando, FL 32806
Phone (407) 422-8873
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Orlando, FL
- NPI 1295171395
-
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1306556907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648166400000",
"number": "1992795942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3431 S. ORANGE AVE",
"address_2": "SUITE B",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328068508",
"telephone_number": "407-422-8873",
"fax_number": "407-425-4294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3431 S. ORANGE AVE",
"address_2": "SUITE B",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328068508",
"telephone_number": "407-422-8873",
"fax_number": "407-425-4294"
}
],
"practiceLocations": [
{
"address_1": "94 W Underwood St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328061100",
"country_code": "US",
"telephone_number": "407-422-8873",
"fax_number": "407-425-4294",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REGUERO",
"first_name": "LILLIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-21",
"last_updated": "2022-03-25",
"certification_date": "2022-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "FL",
"license": "ME0043680",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0043680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.