Look up the most recent NPI and PECOS records

Ernesto Jesus Cereijo Barreda

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

900 S Goldenrod Rd Ste B, Orlando, FL 32822-8113

PECOS Enrollment

This provider is enrolled in PECOS as ERNESTO CEREIJO BARREDA.

Based on the most recent information from CMS, provider Ernesto Jesus Cereijo Barreda is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1124597463
Provider Type
Individual
Full Name
Cereijo Barreda, Ernesto Jesus
Credential
APRN

Gender
Male
Sole Proprietor
Yes
Enumeration Date
11/15/2018
Last Updated
8/14/2024

Contact Information

Practice Location

900 S Goldenrod Rd Ste B, Orlando, FL 32822-8113

(407) 362-0148

(407) 271-8436

Mailing Location

425 W Colonial Dr Ste 303, Orlando, FL 32804-6863

(321) 332-6947

(407) 286-4515

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11000128 Florida
Code 363LP2300X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11000128 Florida

Provider Identifiers

ID	Description	Issuer
ID F10181313	Description Other	Issuer AMERICAN ASSOC OF NURSR PRACTITIONERS Florida

Ernesto Jesus Cereijo Barreda

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Thomas, Dana Maria Lee

Fernandez Herrera, Andres M

Nelson Soto, Anthony

Newton, Lisa

Miller, Patricia Audrey

Cardona, Ashley Laren

Young, Rebecca A

Keeler, Dana

Yanes Delgado, Miguel

Fombellida Martinez, Jussep Orlando