DR. LUIS ALFREDO GARCIA FRESNEDA MD - NPI 1326539388 - General Practice in Kissimmee, FL

Q: What is Luis Garcia Fresneda's NPI number?

The NPI number for Luis Garcia Fresneda is 1326539388. It was assigned to this individual provider in the NPPES registry on May 25, 2018.

Q: What is Luis Garcia Fresneda's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

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About Dr. Luis Alfredo Garcia Fresneda Md NPPES

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

DR. LUIS ALFREDO GARCIA FRESNEDA MD (NPI 1326539388) is an individual general practice provider in Kissimmee, Florida, licensed in Florida (ACN1229) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Manati, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1326539388

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. LUIS ALFREDO GARCIA FRESNEDACredential: MD

Location Address1507 N JOHN YOUNG PKWYKissimmee, FL 34741-3214

Mailing Address601 S Harbour Island Blvd Ste 200Tampa, FL 33602-5925 · (727) 322-3439 · Fax (800) 928-7449

Phone(855) 226-6633

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateMay 25, 2018

Last NPPES UpdateAugust 12, 20224 updates tracked since enumeration

NPPES CertifiedAugust 12, 2022

✔ NPI 1326539388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Licenses✔ Licensed in FL · ACN1229✔ Licensed in PR · 21434

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1507 N JOHN YOUNG PKWY, Kissimmee, FL 34741

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Secondary Practice Location 1

Location 1B41 Calle Elliot VelezManati, PR 00674 · Phone (787) 884-3139

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Luis Alfredo Garcia Fresneda Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456681873

PECOS Enrollment IDI20201112002004

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.

Other Providers at the Same Location NPPES 5

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

SHANNON GRACE FOURNIER LPN

Licensed Practical Nurse