MRS. GLORIMAR NAZARIO-VIDAL M.D.
NPI 1194821611
Internal Medicine in Lecanto, FL

Active since September 15, 2006PECOS Enrolled
2804 W MARC KNIGHTON CT, SUITE A, LECANTO, FL 34461(352) 746-8000(352) 746-8001 Get Directions Write a Review

NPPES record last updated: August 21, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Glorimar Nazario-vidal M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. GLORIMAR NAZARIO-VIDAL M.D. (NPI 1194821611) is an individual internal medicine provider in Lecanto, Florida, licensed in Puerto Rico (13579) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194821611
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMRS. GLORIMAR NAZARIO-VIDALCredential: M.D.
Location Address2804 W MARC KNIGHTON CT, SUITE ALecanto, FL 34461-6300
Mailing AddressPo Box 29866San Juan, PR 00929-0866 · (787) 530-0510 · Fax (787) 998-6733
Fax(352) 746-8001
Sole ProprietorNo
Enumeration DateSeptember 15, 2006
Last NPPES UpdateAugust 21, 2014
NPI 1194821611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PR · 13579
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2804 W MARC KNIGHTON CT, Lecanto, FL 34461

Other Identifiers 3

Medicare UPINH67640PR
Medicare ID-Type Unspecified0020746PR
Other7000005932PR · Eton Number Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Glorimar Nazario-vidal M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34461 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2804 W MARC KNIGHTON CT
LECANTO, FL 34461
Internal Medicine
2804 W MARC KNIGHTON CT
LECANTO, FL 34461
Family Medicine
2804 W MARC KNIGHTON CT, SUITE A
LECANTO, FL 34461
General Practice
2804 W MARC KNIGHTON CT, SUITE A
LECANTO, FL 34461
Community/Behavioral Health
2804 W MARC KNIGHTON CT, SUITE B
LECANTO, FL 34461
Dentist
2804 W MARC KNIGHTON CT
LECANTO, FL 34461
Family Medicine
2804 W MARC KNIGHTON CT
LECANTO, FL 34461
Dietitian, Registered
2804 W MARC KNIGHTON CT
LECANTO, FL 34461

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glorimar Nazario-vidal's NPI number?

The NPI number for Glorimar Nazario-vidal is 1194821611. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Glorimar Nazario-vidal located?

Glorimar Nazario-vidal practices at 2804 W Marc Knighton Ct Suite A, Lecanto, FL 34461. The listed phone number is (352) 746-8000.

What is Glorimar Nazario-vidal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Glorimar Nazario-vidal enrolled in Medicare?

Yes. Glorimar Nazario-vidal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glorimar Nazario-vidal was last updated on August 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.