MR. JORGE BALLESTEROS PA-C NPI 1689657066

NPI Information

NPI: 1689657066
Provider Name: MR. JORGE BALLESTEROS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
7824 LAKE UNDERHILL RD
SUITE A
ORLANDO, FL
ZIP 32822
Phone: (407) 282-2001
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MR. Jorge Ballesteros, PA-C is a medical physician assistant in Orlando, FL. MR. Jorge Ballesteros, PA-C NPI is 1689657066. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7824 LAKE UNDERHILL RD
SUITE A
ORLANDO, FL
ZIP 32822-201
Phone: (407) 282-2001
Fax: (407) 282-2028

The NPI 1689657066 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/21/2005 and was last updated on 7/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA9103585	FLORIDA	Yes
2	363AS0400X	Physician Assistant	Surgical	PA9103585	FLORIDA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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