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MEDICAL HOME ALLIANCE LLC
NPI 1740527811
Internal Medicine in Davenport, FL

Active since January 10, 2013
130 RIDGE CENTER DR STE 104, DAVENPORT, FL 33837(863) 421-9447(863) 421-1806 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 16, 2025, Mar 29, 2021, Oct 23, 2018 and 1 more (4 updates tracked since 2018).

About Medical Home Alliance Llc NPPES

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

MEDICAL HOME ALLIANCE LLC (NPI 1740527811) is a healthcare organization registered as an internal medicine in Davenport, Florida and active in the NPI registry since January 2013. The organization lists Zeneida Tavarez, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1740527811
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMEDICAL HOME ALLIANCE LLC
Location Address130 RIDGE CENTER DR STE 104Davenport, FL 33837-6414
Mailing Address2675 Winkler Ave Ste 200Fort Myers, FL 33901-9328 · (877) 856-3774 · Fax (239) 599-2625
Phone(863) 421-9447
Fax(863) 421-1806
Organization SubpartNo
Authorized OfficialZeneida TavarezCredentialing Specialist · (917) 495-7496
Enumeration DateJanuary 10, 2013
Last NPPES UpdateFebruary 26, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2026
✔ NPI 1740527811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
130 RIDGE CENTER DR STE 104, Davenport, FL 33837
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medical Home Alliance Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

66

Medicare enrollment records show 66 clinicians reassign Medicare billing to Medical Home Alliance LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

General Practice46
Nurse Practitioner11
Internal Medicine5
Family Practice4

Nearest to this location (20)

See all 66
Gilberto De Miranda Aqu, M.D.
General Practice
NPI 1316940943
130 RIDGE CENTER DR STE 104
Davenport, FL 33837
(863) 421-9447
✔ PECOS✔ Accepts MedicareSame address
Juan Carlos Escandon, MD
Family Practice
NPI 1356567788
130 RIDGE CENTER DR STE 104
Davenport, FL 33837
(863) 421-9447
✔ PECOS✔ Accepts MedicareSame address
Maria Muriente Guzman, MD
General Practice
NPI 1861658478
130 RIDGE CENTER DR STE 104
Davenport, FL 33837
(863) 421-9447
✔ PECOS✔ Accepts MedicareSame address
Zolanye Santana Betances, MD
General Practice
NPI 1457162398
130 RIDGE CENTER DR STE 104
Davenport, FL 33837
(407) 845-0330
✔ PECOS✔ Accepts MedicareSame address
Ismael Ruiz De La Rosa, M.D.
General Practice
NPI 1912130527
181 WEBB DR STE 475
Davenport, FL 33837
(863) 419-1235
✔ PECOS✔ Accepts Medicare4.2 mi
Anna Harris, D.O.
General Practice
NPI 1487849600
181 WEBB DR STE A
Davenport, FL 33837
(863) 419-1235
✔ PECOS✔ Accepts Medicare4.2 mi
Luis Rivera, MD
General Practice
NPI 1679221287
181 WEBB DR STE A
Davenport, FL 33837
(863) 419-1235
✔ PECOS✔ Accepts Medicare4.2 mi
Alexis Suarez, APRN
Nurse Practitioner
NPI 1821775537
111 WEBB DR
Davenport, FL 33837
(863) 421-9447
✔ PECOS✔ Accepts Medicare4.4 mi
Milady Irizarry Vazquez, M.D
General Practice
NPI 1528285954
3372 W SOUTHPORT RD
Kissimmee, FL 34746
(407) 933-7900
✔ PECOS✔ Accepts Medicare13 mi
Marielis Pedroza Alicea, MD
General Practice
NPI 1619133782
3372 W SOUTHPORT RD
Kissimmee, FL 34746
(407) 933-7900
✔ PECOS✔ Accepts Medicare13 mi
Sylma Rodriguez
General Practice
NPI 1306817101
3372 W SOUTHPORT RD
Kissimmee, FL 34746
(407) 933-7900
✔ PECOS✔ Accepts Medicare13 mi
Dean Thompson, MD, MSPH
General Practice
NPI 1952013021
3372 W SOUTHPORT RD
Kissimmee, FL 34746
(407) 933-7900
✔ PECOS✔ Accepts Medicare13 mi
Yanira Martinez Claudio, FNP-C
Nurse Practitioner
NPI 1992561831
3372 W SOUTHPORT RD
Kissimmee, FL 34746
(407) 933-7900
✔ PECOS✔ Accepts Medicare13 mi
Antonio Ressy, ARNP
Nurse Practitioner
NPI 1285311993
3372 W SOUTHPORT RD
Kissimmee, FL 34746
(407) 933-7900
✔ PECOS✔ Accepts Medicare13 mi
Karol Fortich, MD
Internal Medicine
NPI 1124284468
151 2ND ST SW
Winter Haven, FL 33880
(863) 299-6700
✔ PECOS✔ Accepts Medicare14 mi
Iris Rodriguez, M.D.
Family Practice
NPI 1639247646
431 W OAK ST
Kissimmee, FL 34741
(407) 750-6980
✔ PECOS✔ Accepts Medicare16 mi
Raydelys Camejo
Nurse Practitioner
NPI 1972120376
8803 FUTURES DR STE 9
Orlando, FL 32819
(407) 240-2361
✔ PECOS✔ Accepts Medicare20 mi
Carlos Ramos, MD
Internal Medicine
NPI 1407113582
8803 FUTURES DR STE 9
Orlando, FL 32819
(407) 240-2361
✔ PECOS✔ Accepts Medicare20 mi
Luis Favilli, MD
Family Practice
NPI 1013912625
3650 INNOVATION DR
Lakeland, FL 33812
(860) 709-1968
✔ PECOS✔ Accepts Medicare22 mi
Sam Korley, M.D.
Internal Medicine
NPI 1518962885
4729 US HIGHWAY 98 S STE 201
Lakeland, FL 33812
(863) 646-9663
✔ PECOS✔ Accepts Medicare22 mi
See all 66 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Medical Home Alliance LLC's NPI number?

The NPI number for Medical Home Alliance LLC is 1740527811. It was assigned to this organization in the NPPES registry on January 10, 2013.

Where is Medical Home Alliance LLC located?

Medical Home Alliance LLC is located at 130 Ridge Center Dr Ste 104, Davenport, FL 33837. The listed phone number is (863) 421-9447.

What is Medical Home Alliance LLC's specialty?

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

Is Medical Home Alliance LLC enrolled in Medicare?

Yes. Medical Home Alliance LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medical Home Alliance LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 66 clinicians in 4 Medicare specialties reassign their Medicare billing to Medical Home Alliance LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are General Practice (46), Nurse Practitioner (11) and Internal Medicine (5). Of these, 4 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Medical Home Alliance LLC was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.