DR. JOSE A PARES (NPI# 1912115445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912115445 |
| Entity Type | Individual |
| Full Name | DR. JOSE A PARES |
| Credential | MD |
| Practice Address |
3655 Innovation Dr Lakeland FL 33812-4106 |
| Mailing Address |
4700 Exploration Ave Lakeland FL 33812-3319 |
| Practice Telephone | 8636195999 |
| Practice Fax Number | 8636195995 |
| Mailing Telephone | 8636195999 |
| Mailing Fax Number | 8636195995 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME135563 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 11522 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | MEDICARE PTAN | DP418Z | 01 |
| PR | TRIPLE S | 21074 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 Avenue A Se, Winter Haven, FL 338806302 | 8636195999 | 8636195995 |
| 140 Ave Las Cumbres, Guaynabo, PR 009695523 | 7877836779 | 7877836779 |
| Street Address |
3655 INNOVATION DR |
| City | LAKELAND |
| State | FL |
| Zip Code | 33812-4106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760600142 | Internal Medicine Specialists Medical Group Pa | Internal Medicine | 3655 Innovation Dr, Lakeland, FL 33812 | 2007-04-23 |
| 1174095616 | Kristen Lynn Tolley | Registered Nurse | 3655 Innovation Dr, Lakeland, FL 33812-4106 | 2018-12-21 |
| 1659874451 | Zachary Allen Oliver | Nurse Practitioner | 3655 Innovation Dr, Lakeland, FL 33812 | 2018-03-18 |
| 1770008773 | Reliance Healthcare Network | Clinic/Center | 3655 Innovation Dr, Lakeland, FL 33812-4106 | 2017-08-10 |
| 1205362431 | Reliance Medical Centers | Clinic/Center | 3655 Innovation Dr, Lakeland, FL 33812-4106 | 2017-05-09 |
| 1174058879 | Reliance Medical Centers | Point of Service | 3655 Innovation Dr, Lakeland, FL 33812-4106 | 2017-05-01 |
| 1437602422 | Atiyeh Amer Atiyeh | General Practice | 3655 Innovation Dr, Lakeland, FL 33812-4106 | 2016-07-26 |
| 1851749774 | Medlux LLC | Pharmacy | 3655 Innovation Dr, Lakeland, FL 33812-4106 | 2016-06-01 |
| 1568848026 | Lakeland Family Pharmacy | Pharmacy | 3655 Innovation Dr, Lakeland, FL 33812-4106 | 2015-08-07 |
| 1376924191 | Isabel Victoria Hidalgo Acosta I | General Practice | 3655 Innovation Dr, Lakeland, FL 33812 | 2015-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891036976 | Arlene Nitza Hunt | Counselor | 5421 Us Highway 98 S, Lakeland, FL 33812 | 2013-03-14 |
| 1952648867 | Christopher Benka | Pharmacist | 5185 Us Highway 98 S, Lakeland, FL 33812 | 2013-01-11 |
| 1407105083 | Elena Kan | Dentist | 5644 Vintage View Boulevard, Lakeland, FL 33812 | 2012-08-29 |
| 1760611412 | Blanca Lilia Fernandez | Dentist | 5163 Us Highway 98 S, Lakeland, FL 33812 | 2009-07-02 |
| 1033314190 | Gustavo Alberto De Jesus-gomez | Surgery | 5907 Hillside Heights Dr., Lakeland, FL 33812 | 2007-06-19 |
| 1124171475 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 5155 Us Highway 98 South, Suites 5b&5c, Lakeland, FL 33812 | 2007-01-19 |
| 1356322234 | Carlos M Romero | Family Medicine | 3655 Innovation Drive, Lakeland, FL 33812 | 2005-11-08 |
| 1427055318 | Roxann Castelli Cook | Family Medicine | 2803 Meridian Point Lane, Lakeland, FL 33812 | 2005-07-07 |
| 1316577513 | Ashley Joanne Reckord | Counselor | 5421 Us Highway 98 S, Lakeland, FL 33812 | 2020-01-16 |
| 1013470483 | Sanger and Associates - Behavioral and Psychological Services, LLC | Psychologist | 2780 Verandah Vue Way, Lakeland, FL 33812 | 2019-04-11 |
| Find all providers in zip 33812 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517840 | Kecia Howell | General Practice | 7433 Us Highway 98 N, Lakeland, FL 33809-2140 | 2020-04-20 |
| 1114393469 | Lakeland Regional Health Systems, Inc. | General Practice | 811 S Lakeside Ave, Lakeland, FL 33815-4771 | 2015-08-20 |
| 1700213972 | Wendell O Blake Md Pa | General Practice | 505 Martin Luther King Jr Avenue, Suite 2, Lakeland, FL 33815-1527 | 2013-10-03 |
| 1649572249 | Lysmar Carrion Dinguis | General Practice | 4725 Us Highway 98 S Ste 101, Lakeland, FL 33812-4334 | 2010-12-02 |
| 1891945580 | Luis J. Velazquez Vicente | General Practice | 4120 Us Highway 98 N, Suite 200, Lakeland, FL 33809-3854 | 2008-09-30 |
| 1225227051 | Lenny Tua Mendez | General Practice | 4725 Us Highway 98 S Ste 102, Lakeland, FL 33812-4334 | 2007-10-17 |
| 1841344454 | Evans Salomon Mercier | General Practice | 5020 Williamstown Blvd, Lakeland, FL 33810-3707 | 2007-01-22 |
| 1174690358 | Prudencio P Aqui | General Practice | 2133 S Combee Rd, Sterling Square, Lakeland, FL 33801 | 2006-11-30 |
| 1225134745 | Esther Echevarria | General Practice | 3810 S Florida Ave, Lakeland, FL 33813-1105 | 2006-09-15 |
| 1164539870 | Luis Garcia Rivera | General Practice | 5425 S Florida Ave, Lakeland, FL 33813 | 2006-08-25 |
| Find all providers in LAKELAND | ||||
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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.