ELENA GINES BOTARDO (NPI# 1215908421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215908421 |
| Entity Type | Individual |
| Full Name | ELENA GINES BOTARDO |
| Credential | MD |
| Practice Address |
1381 S Patrick Dr Patrick Afb FL 32925 |
| Mailing Address |
1381 S Patrick Dr Patrick Afb FL 32925-3606 |
| Practice Telephone | 3214948241 |
| Mailing Telephone | 3214948241 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2019-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME66902 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1381 S Patrick Dr, Patrick Afb, FL 32925 | 3214948241 |
| Street Address |
1381 S PATRICK DR |
| City | PATRICK AFB |
| State | FL |
| Zip Code | 32925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144222118 | Gilbert Ray Hansen | Family Medicine | 1381 S Patrick Dr, Patrick Afb, FL 32925-3606 | 2005-08-10 |
| 1568081156 | Nathaniel Wilkerson | Military Health Care Provider | 1381 S Patrick Dr, Patrick Afb, FL 32925-3606 | 2020-04-13 |
| 1760029987 | Xiao Dan Zeng | Psychologist | 1381 S Patrick Dr, Patrick Afb, FL 32925-3606 | 2019-12-06 |
| 1245874023 | Frances Jeffcoat | Pharmacist | 1381 S Patrick Dr, Patrick Afb, FL 32925-3606 | 2019-11-04 |
| 1730684820 | Lisa Michelle Congdon | Social Worker | 1381 S Patrick Dr, Patrick Afb, FL 32925-3606 | 2018-03-29 |
| 1578936431 | Charles William Fetrow | Pharmacist | 1381 S Patrick Dr, Ste A, Patrick Afb, FL 32925-3606 | 2015-11-01 |
| 1609270636 | Gabrielle Quirao Aragon | Nurse Practitioner | 1381 S Patrick Dr, Patrick Afb, FL 32925-3606 | 2014-10-20 |
| 1568878676 | 45th Medical Group-sgam | Pharmacy | 1381 S Patrick Dr, Patrick Afb, FL 32925-3606 | 2014-07-09 |
| 1710227061 | Katelin Staley | Optometrist | 1381 S Patrick Dr, Patrick Afb, FL 32925-3606 | 2013-02-24 |
| 1538423934 | Karen Marie Daniels | Nurse Practitioner | 1381 S Patrick Dr, 45th Mdg/mdos Family Health, Patrick Afb, FL 32925-3606 | 2012-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366966277 | Amer B Alnaqeeb | Physician Assistant | 1381 S. Patrick Drive, 45th Mdg, Patrick Afb, FL 32925 | 2017-08-01 |
| 1871943878 | Stephen Chase | Social Worker | 45 Mdos/ Sgow, 1370 South Patrick Dr, Patrick Afb, FL 32925 | 2016-06-21 |
| 1063819225 | Calvin Williams | Physician Assistant | 1381 S. Patrick Drive, 45th Medical Group, Patrick Afb, FL 32925 | 2014-12-03 |
| 1427335694 | Emily Sue Burrows | Physician Assistant | 45th Medical Group, 1381 S. Patrick Dr., Patrick Air Force Base, FL 32925 | 2011-11-15 |
| 1215072681 | Joseph Edward Cheries | Psychologist | 45 Mdos/sgow, 1370 South Patrick Drive, Patrick Afb, FL 32925 | 2007-02-21 |
| 1760520035 | Tiffany M Ingham | Anesthesiology | 1368 Old Mace Rd, Patrick Afb, FL 32925 | 2007-02-01 |
| 1801946645 | Catherine M. Callender | Psychologist | 1370 S. Patrick Drive, 20 Mdg-sgoh, Patrick Afb, FL 32925 | 2007-01-12 |
| 1912936238 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | S. Patrick Dr., Building 1364, Patrick Afb, FL 32925 | 2006-06-30 |
| 1023085255 | Wade J Bravo | Physician Assistant | 1381 S Patrick Drive, 45th Medical Group, Patrick Afb, FL 32925 | 2006-03-07 |
| 1891785663 | Arthur Carrizales | Family Medicine | 1381 South Patrick Drive, Patrick Health Care Clinic, Patrick Afb, FL 32925 | 2005-10-24 |
| Find all providers in zip 32925 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891785663 | Arthur Carrizales | Family Medicine | 1381 South Patrick Drive, Patrick Health Care Clinic, Patrick Afb, FL 32925 | 2005-10-24 |
| 1144222118 | Gilbert Ray Hansen | Family Medicine | 1381 S Patrick Dr, Patrick Afb, FL 32925-3606 | 2005-08-10 |
| 1457538217 | Emanuel Diaz | Family Medicine | 1381 S Patrick Dr, Patrick Afb, FL 32925-3606 | 2008-01-23 |
| 1184837874 | Hadijatou Joyce Jarra | Family Medicine | 1381 S Patrick Dr, Patrick Afb, FL 32925-3606 | 2007-05-08 |
| 1023135191 | Vasant L Dabhi | Family Medicine | 1381 S Patrick Dr, Patrick Afb, FL 32925-3606 | 2007-03-23 |
| 1699860593 | Alesia Christen Carrizales | Family Medicine | 1381 S Patrick Dr, Patrick Afb, FL 32925-3606 | 2006-10-04 |
| 1316907686 | Dauri Zoraida Alvarez | Family Medicine | 1381 S Patrick Dr, Patrick Afb, FL 32925-3606 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891777 | Medical Risk Solutions LLC | Family Medicine | 455 Ishie Ave, Bronson, FL 32621-6204 | 2020-11-06 |
| 1801497953 | Wildwood Primary Care Associates | Family Medicine | 5814 Seven Mile Dr Ste 105, Wildwood, FL 34785-8869 | 2020-11-05 |
| 1053912238 | New Port Richey Primary Care Associates | Family Medicine | 4772 Us Highway 19, New Port Richey, FL 34652-4944 | 2020-11-04 |
| 1053912550 | Wound Integrity Florida Pa | Family Medicine | 111 Ne 1st St # 1011, Miami, FL 33132-2506 | 2020-11-03 |
| 1902407455 | Trek Healthcare LLC | Family Medicine | 11767 S Dixie Hwy # 208, Pinecrest, FL 33156-4438 | 2020-11-02 |
| 1700486933 | Orlando Jorge Diaz | Family Medicine | 6231 Sw 138th Ct Apt N, Miami, FL 33183-2095 | 2020-10-27 |
| 1255930871 | Haymee Rodriguez | Family Medicine | 18751 Sw 295th Ter, Homestead, FL 33030-2310 | 2020-10-23 |
| 1033718986 | Jason Wittlin | Family Medicine | 601 Sw 242nd Ter, Newberry, FL 32669-4495 | 2020-10-21 |
| 1457950420 | Paxton Medical Management | Family Medicine | 14279 Tamiami Trl, North Port, FL 34287-2215 | 2020-10-21 |
| 1679172779 | Flagler Family Nursing Home Care LLC | Family Medicine | 130 Healthpark Blvd, St Augustine, FL 32086-5776 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | PATRICK AFB |
| Zip Code | 32925 |
Please comment or provide details below to improve the information on ELENA GINES BOTARDO.
| 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.