WALESKA OQUENDO-TIRADO (NPI# 1891744504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891744504 |
| Entity Type | Individual |
| Full Name | WALESKA OQUENDO-TIRADO |
| Credential | M.D. |
| Practice Address |
1100 Cesery Blvd Jacksonville FL 32211-5674 |
| Mailing Address |
12171 Sw 268th St Homestead FL 33032-8001 |
| Practice Telephone | 9045515884 |
| Mailing Telephone | 3052780200 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2018-04-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 10131 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
1100 CESERY BLVD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32211-5674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114537073 | Darcellis Stinnette | Massage Therapist | 1100 Cesery Blvd, Jacksonville, FL 32211-5674 | 2020-08-05 |
| 1568016459 | Manuela Claudia Cismaru | Nurse Practitioner | 1100 Cesery Blvd, Jacksonville, FL 32211-5674 | 2019-07-29 |
| 1215598008 | Adrianne J Parris | Massage Therapist | 1100 Cesery Blvd, Jacksonville, FL 32211-5674 | 2019-06-24 |
| 1619536174 | Jessica Lynn Askew | Nurse Practitioner | 1100 Cesery Blvd, Jacksonville, FL 32211-5674 | 2019-06-10 |
| 1124683214 | Cherie Danielle Schaffner | Nurse Practitioner | 1100 Cesery Blvd, Jacksonville, FL 32211-5674 | 2019-05-05 |
| 1922572023 | Natasha T Ingram | Nurse Practitioner | 1100 Cesery Blvd, Jacksonville, FL 32211 | 2019-01-11 |
| 1750879201 | Jasmine Fair | Social Worker | 1100 Cesery Blvd, Jacksonville, FL 32211-5674 | 2018-04-30 |
| 1700399532 | Shannon Spaulding | Counselor | 1100 Cesery Blvd, Jacksonville, FL 32211-5674 | 2017-11-15 |
| 1053833293 | Amy Anne Buckley | Social Worker | 1100 Cesery Blvd, Jacksonville, FL 32211-5674 | 2017-07-10 |
| 1831620194 | Ashley Ford | Case Manager/Care Coordinator | 1100 Cesery Blvd, Jacksonville, FL 32211-5674 | 2017-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951758 | Ebs Childrens Therapy - Fl LLC | Behavioral Analyst | 5491 Dolphin Point Blvd, Jacksonville, FL 32211 | 2020-10-27 |
| 1700412822 | Marie Vernal | Social Worker | 6051 Arlington Expressway Suite 169, Jacksonville, FL 32211 | 2020-03-20 |
| 1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
| 1366089641 | Prophetic Healing Deliverance Ministry of Mysteries, Inc | Counselor | 8550-2 Lone Star Road, Jacksonville, FL 32211 | 2019-12-05 |
| 1922656370 | Timothy Richard Barron | Behavior Technician | 5633 Clifton Ln, Jacksonville, FL 32211 | 2019-08-29 |
| 1023583325 | Linnzi Marks | Behavioral Analyst | 6014 Wateredge Ln, Jacksonville, FL 32211 | 2018-10-12 |
| 1780160192 | Ganesh Healthcare of Jax LLC | Alzheimer Center (Dementia Center) | 644 Cesery Blvd Ste 150, Jacksonville, FL 32211 | 2018-07-18 |
| 1902397276 | Chandra Harris Washington | In Home Supportive Care | 2712 Gaillardia Rd, Jacksonville, FL 32211 | 2018-05-22 |
| 1043730062 | Monica R Iskander | Dentist | 465 University Blvd N, Jacksonville, FL 32211 | 2017-06-21 |
| 1205366895 | Lilibeth Bundang Adona | Custodial Care Facility | 1818 Townsend Blvd, Jacksonville, FL 32211 | 2017-06-15 |
| Find all providers in zip 32211 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1396392767 | Yurelsy Galvez Ricardo | General Practice | 725 Middle Branch Way, Jacksonville, FL 32259-6201 | 2019-08-21 |
| 1639721772 | Deborah Brabham | General Practice | 10990 Lydia Estates Dr E, Jacksonville, FL 32218-6940 | 2019-07-09 |
| 1851868459 | Nursing On Demand Inc | General Practice | 1260 Mcduff Ave S # 3, Jacksonville, FL 32205-8030 | 2018-11-01 |
| 1295202984 | Summit Integrative Health, LLC | General Practice | 12627 San Jose Blvd Ste 305, Jacksonville, FL 32223-8639 | 2018-10-31 |
| 1558864736 | Andrew Louis Monroe | General Practice | As-100 White Street, Jacksonville, NC 28540 | 2018-03-14 |
| 1255859641 | Mcgowan Medical Centers, Pa | General Practice | 3021 N Main St, Jacksonville, FL 32206-2122 | 2017-09-06 |
| 1972953339 | Colin Kenneth Kelly | General Practice | Bureau of Medicine & Surgery Detachment, Nas Jacksonville, Building 554, Jacksonville, FL 32212 | 2016-06-16 |
| 1700247863 | Emily Calhoun | General Practice | 554 Kelly Ln, Jacksonville, FL 32234-3049 | 2016-03-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32211 |
Please comment or provide details below to improve the information on WALESKA OQUENDO-TIRADO.
| 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.