LOURDES CARRERO (NPI# 1225092182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225092182 |
| Entity Type | Individual |
| Full Name | LOURDES CARRERO |
| Credential | M.D. |
| Practice Address |
5043 Palmetto Park Dr Winter Garden FL 34787-5693 |
| Practice Telephone | 8505907369 |
| Mailing Telephone | 8505907369 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ACN117 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 10482 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003953400 | 05 | |
| FL | MEDICARE | IZ052X | 01 |
| Street Address |
5043 PALMETTO PARK DR |
| City | WINTER GARDEN |
| State | FL |
| Zip Code | 34787-5693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608736 | Mid-florida Endodontics - Winter Garden Pa | Dentist | 15815 Shaddock Drive, Unit-3, Winter Garden, FL 34787 | 2020-10-30 |
| 1770196131 | Hamlin Eye Care, LLC | Optometrist | 15820 Shaddock Drive, Suite 150, Winter Garden, FL 34787 | 2020-08-26 |
| 1710501879 | Hz Surgery Center LLC | Clinic/Center | 17085 Porter Road, Suite 110, Winter Garden, FL 34787 | 2020-06-04 |
| 1235759416 | Callie Rebecca Alt | Student in an Organized Health Care Education/Training Program | 2200 Fowler Grove Blvd, Suite 220, Winter Garden, FL 34787 | 2020-04-17 |
| 1992345102 | Advn Dental Partners Pa | Dentist | 516 S. Dillard Street, Winter Garden, FL 34787 | 2020-01-15 |
| 1942851225 | Sara Walker | Physical Therapist | 213 S Dillard Street, Suite 320c, Winter Garden, FL 34787 | 2019-09-26 |
| 1801449996 | Tiffani Green | Behavior Technician | 678 W Bay St Apt 52, Winter Garden, FL 34787 | 2019-07-18 |
| 1811461353 | Ricardo Villalobos Pa | Psychiatry & Neurology | 16606 Broadwater Ave, Winter Garden, FL 34787 | 2019-01-17 |
| 1871078089 | Alton Graydon Cumberbatch Sr. | Pharmacist | 646 S. Dillard Street, Winter Garden, FL 34787 | 2018-10-03 |
| 1629551395 | Andrew Petersen | Physical Therapy Assistant | 5204 W. Colonial Drive, Winter Garden, FL 34787 | 2018-09-10 |
| Find all providers in zip 34787 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203634 | Central Florida Wellness LLC | General Practice | 15516 W Colonial Dr Ste 111, Winter Garden, FL 34787-9558 | 2020-10-23 |
| 1790169423 | Angelo Rutty Espinoza | General Practice | 871 Vineland Rd Ste B, Winter Garden, FL 34787-3938 | 2015-07-13 |
| 1003205519 | Rafael Perfecto | General Practice | 14143 Lakeview Park Rd, Winter Garden, FL 34787-0091 | 2015-01-21 |
| 1003228404 | Cesar A Orozco | General Practice | 213 S Dillard St Ste 240, Winter Garden, FL 34787-3596 | 2014-05-20 |
| 1669445136 | Ruth Esther Matos | General Practice | 319 South Dillard Street, Miracle Health Center, Winter Garden, FL 34787 | 2006-02-07 |
| 1255957155 | Perfecto Medical Clinic, LLC | General Practice | 14143 Lakeview Park Rd, Winter Garden, FL 34787-0091 | 2020-06-17 |
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| Find all providers with the same taxonomy | ||||
| City | WINTER GARDEN |
| Zip Code | 34787 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.