DR. MARIO ANDRES AZUERO (NPI# 1366741746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366741746 |
| Entity Type | Individual |
| Full Name | DR. MARIO ANDRES AZUERO |
| Credential | M.D. |
| Practice Address |
953 E Del Webb Blvd Sun City Center FL 33573-6669 |
| Mailing Address |
2675 Winkler Ave Fl 2 Fort Myers FL 33901-9342 |
| Practice Telephone | 8136346880 |
| Practice Fax Number | 8136346833 |
| Mailing Telephone | 8778563774 |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME128374 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | E-7803 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MCR | MD454 | 01 |
| AR | BLUE CROSS BLUE SHIELD | 5TT56 | 01 |
| Street Address |
953 E DEL WEBB BLVD |
| City | SUN CITY CENTER |
| State | FL |
| Zip Code | 33573-6669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235147182 | Benjamin Panglao Marquez | Family Medicine | 953 E Del Webb Blvd, Sun City Center, FL 33573-6669 | 2006-08-04 |
| 1699308874 | Jacqueline Dimalanta Poletes | Nurse Practitioner | 953 E Del Webb Blvd, Sun City Center, FL 33573-6669 | 2020-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003427584 | Melissa Guigliano | Occupational Therapist | 3800 Fl-674, Sun City Center, FL 33573 | 2020-08-10 |
| 1013552751 | Lisa Brewer | Home Health | 301 Andover Pls 172, Sun City Center, FL 33573 | 2019-11-15 |
| 1023673951 | Apollo Pain Management | Anesthesiology | 720 Cortaro Drive, Sun City Center, FL 33573 | 2019-05-06 |
| 1043671126 | Marie Josee Francoeur | Nurse's Aide | 101 Trinity Lakes Drive, Sun City Center, FL 33573 | 2016-03-16 |
| 1588039804 | Priscilla Lou Raasch-mason | Physical Therapist | 827 Cypress Village Blvd., Suite A, Ruskin, FL 33573 | 2015-12-11 |
| 1740670405 | Richard Charles Vollrath | General Practice | 319 Siena Vista Pl, Sun City Center, FL 33573 | 2015-02-02 |
| 1265858468 | Josue Fils-aime | Custodial Care Facility | 8019 Cherry Branch Dr., Ruskin, FL 33573 | 2014-03-12 |
| 1013258748 | Tampa General Medical Group | Family Medicine | 16521 South U.S. Highway 301, Wimauma, FL 33573 | 2013-03-05 |
| 1386927135 | Sujith Idiculla | Pharmacist | 705 North Pebble Beach Blvd, Walgreens, Suncity, FL 33573 | 2011-09-27 |
| 1366756983 | Seniorbridge Family Companies (fl), Inc. | Home Health | 139 S. Pebble Beach Blvd., Suite 106, Sun City Center, FL 33573 | 2010-08-06 |
| Find all providers in zip 33573 | ||||
| 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 |
|---|---|---|---|---|
| 1437775707 | Regenerative Health Centers LLC | Family Medicine | 4040 Upper Creek Dr Ste 104, Sun City Center, FL 33573-6844 | 2020-06-22 |
| 1174069330 | Antoinette Lloyd | Family Medicine | 303 Kinneret Way, Sun City Center, FL 33573-6156 | 2017-01-12 |
| 1184053498 | Kimberley Kleckner | Family Medicine | 139 S Pebble Beach Blvd Ste 101, Sun City Center, FL 33573-4711 | 2013-11-06 |
| 1104122993 | Walter Joseph Drugan Jr. | Family Medicine | 1810 Allegheny Dr, Sun City Center, FL 33573-5029 | 2011-01-27 |
| 1396988952 | Khushi Acushla Dhaliwal | Family Medicine | 4874 Sun City Center Blvd, Sun City Center, FL 33573-6281 | 2009-04-13 |
| 1508905407 | Benjamin P Marquez Md Pa | Family Medicine | 953 Del Webb Blvd East, Sun City Center, FL 33573-6669 | 2007-02-06 |
| 1235147182 | Benjamin Panglao Marquez | Family Medicine | 953 E Del Webb Blvd, Sun City Center, FL 33573-6669 | 2006-08-04 |
| 1215535125 | Rhc Sun City Center LLC | Family Medicine | 4040 Upper Creek Dr Ste 104, Sun City Center, FL 33573-6844 | 2020-10-13 |
| 1366869687 | Shemushi Nasreen | Family Medicine | 4874 Sun City Center Blvd, Sun City Center, FL 33573 | 2014-03-25 |
| 1417218850 | Jasmine T. Weaver | Family Medicine | 781 Cypress Village Blvd, Sun City Center, FL 33573-6801 | 2012-06-01 |
| Find all providers in SUN CITY CENTER | ||||
| City | SUN CITY CENTER |
| Zip Code | 33573 |
Please comment or provide details below to improve the information on DR. MARIO ANDRES AZUERO.
| 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.