DR. ANGEL MANUEL CUENCA GONGORA MD
NPI 1962183665
General Practice in Kissimmee, FL

Active since July 26, 2023PECOS EnrolledAccepts Medicare Assignment
431 W OAK ST, KISSIMMEE, FL 34741(407) 750-6980 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 11, 2025, Feb 5, 2025, Dec 9, 2023 and 1 more (4 updates tracked since 2023).

About Dr. Angel Manuel Cuenca Gongora Md NPPES

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

DR. ANGEL MANUEL CUENCA GONGORA MD (NPI 1962183665) is an individual general practice provider in Kissimmee, Florida, licensed in Florida (ACN1691) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1962183665
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. ANGEL MANUEL CUENCA GONGORACredential: MD
Location Address431 W OAK STKissimmee, FL 34741-6627
Mailing Address6675 Westwood Blvd Ste 475Orlando, FL 32821-6027 · (407) 845-0330
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 26, 2023
Last NPPES UpdateFebruary 11, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2025
NPI 1962183665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses Licensed in FL · ACN1691 Licensed in PR · 24217
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

431 W OAK ST, Kissimmee, FL 34741

Other Names 1

Professional Name (2)Dr. Angel M Cuenca Md

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. Angel Manuel Cuenca Gongora 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 ID9032630330
PECOS Enrollment IDI20250303002730
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 6

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

Non-Pharmacy Dispensing Site
431 W OAK ST
KISSIMMEE, FL 34741
General Practice
431 W OAK ST
KISSIMMEE, FL 34741
Internal Medicine
431 W OAK ST
KISSIMMEE, FL 34741
Internal Medicine
431 W OAK ST
KISSIMMEE, FL 34741
General Practice
431 W OAK ST
KISSIMMEE, FL 34741
General Practice
431 W OAK ST
KISSIMMEE, FL 34741

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962183665, enumerated as an "individual" on July 26, 2023.

The provider is located at 431 W OAK ST KISSIMMEE, FL 34741 and the phone number is (407) 750-6980.

General Practice with taxonomy code 208D00000X.