RAQUEL MASCORRO (NPI# 1477730570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477730570 |
| Entity Type | Individual |
| Full Name | RAQUEL MASCORRO |
| Practice Address |
5535 S Williamson Blvd Suite 774 Port Orange FL 32128 |
| Mailing Address |
525 E Creighton Ave Fort Wayne IN 46803-2471 |
| Practice Telephone | 8003307711 |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2013-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 32001513A | IN | Other Service Providers |
| Street Address |
5535 S WILLIAMSON BLVD SUITE 774 |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952371312 | Johnna Mantineo | Family Medicine | 5535 S Williamson Blvd, Suite 700, Port Orange, FL 32128-8311 | 2006-01-26 |
| 1003415670 | Erin Kwiatkowski | Physical Therapist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2020-10-23 |
| 1932714045 | Alicia Bommarito | Occupational Therapist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2020-09-15 |
| 1205449717 | Amanda Breitenbach | Speech-Language Pathologist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2020-08-25 |
| 1619589934 | Emily Ford | Speech-Language Pathologist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2020-08-18 |
| 1942811237 | Taylor Bruce | Speech-Language Pathologist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2020-08-11 |
| 1376169706 | Christina Debiasio | Speech-Language Pathologist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2020-06-22 |
| 1023634425 | Emily Symons | Speech-Language Pathologist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2020-06-22 |
| 1083251581 | Paige Tschop | Physical Therapist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2019-12-03 |
| 1205471810 | Sarah Blake | Speech-Language Pathologist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2019-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487209979 | Encore Hearing Consultants, LLC | Hearing Instrument Specialist | 5889 S. Williamson Blvd, Suite 1409, Port Orange, FL 32128 | 2019-08-02 |
| 1346768835 | T'neill Treherne | Occupational Therapist | 5535 S. Williamson Blvd Suite 774, Port Orange, FL 32128 | 2017-09-05 |
| 1881055440 | Jose Ortiz | Chiropractor | 6315 S Williamson Blvd Apt 132, Port Orange, FL 32128 | 2016-03-10 |
| 1376915132 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5445 S. Williamson Blvd, Port Orange, FL 32128 | 2015-10-20 |
| 1508289570 | Jeffrey Barnes | Physical Therapist | 5535 S. Williamson B;vd, Port Orange, FL 32128 | 2014-01-28 |
| 1881025542 | Rachael Hall | Physical Therapist | 55335 S Williamson Blvd, Suite 774, Port Orange, FL 32128 | 2013-12-06 |
| 1154765840 | Daniel Fleishman | Counselor | 6709 Ferri Circle, Port Orange, FL 32128 | 2013-04-24 |
| 1215282629 | Jeffrey Mclaughlin | Physical Therapist | 5535 S. Williamson Blvd., Ste 774, Port Orange, FL 32128 | 2012-07-23 |
| 1710266812 | Steven Gerald Daniels | Chiropractor | 1807 Creekwater Blvd, Port Orange, FL 32128 | 2011-08-08 |
| 1639489883 | Dr. Michael Hay and Associates, LLC | Optometrist | 5517 S. Williamson Blvd., #310, Port Orange, FL 32128 | 2010-10-20 |
| Find all providers in zip 32128 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538411731 | Roberta Ann Gilmartin | Specialist | 1048 W Samms Ave, Port Orange, FL 32129 | 2012-10-11 |
| 1124310347 | Donna Yonta | Specialist | 3930 Oriole Ave, Port Orange, FL 32127-6518 | 2011-05-05 |
| 1336446723 | John L Kihm | Specialist | 1824 Summer Green Dr, Port Orange, FL 32128-7157 | 2011-02-21 |
| 1891978185 | Sheree Genevieve Urich | Specialist | 1304 Osprey Nest Ln, Port Orange, FL 32128-7160 | 2007-12-10 |
| 1598968554 | Cindy W Vola | Specialist | 2385 Guava Dr, Port Orange, FL 32128-6505 | 2007-06-07 |
| 1649488933 | Tina G Evans | Specialist | 16 Black Jack Cir, Port Orange, FL 32128-6771 | 2007-05-18 |
| 1891776399 | Anthony Carmine Picchiello | Specialist | 3951 South Nova Rd, Port Orange, FL 32127 | 2005-11-10 |
| 1528049327 | Ralph Joseph Zwolinski | Specialist | 5111 S Ridgewood Ave, Suite 102, Port Orange, FL 32127-5169 | 2005-11-09 |
| 1861890790 | Amer Khatib | Specialist | 1690 Dunlawton Ave, Suite 120, Port Orange, FL 32127-8979 | 2014-12-09 |
| 1376816876 | Advanced Endoscopy Centers LLC | Specialist | 1690 Dunlawton Ave, Suite 220, Port Orange, FL 32127-8979 | 2012-02-14 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32128 |
Please comment or provide details below to improve the information on RAQUEL MASCORRO.
| 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.