Provider Demographics
NPI:1619959012
Name:REGO, ARMANDO (MD)
Entity Type:Individual
Prefix:DR
First Name:ARMANDO
Middle Name:
Last Name:REGO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 E COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-4602
Mailing Address - Country:US
Mailing Address - Phone:407-895-9255
Mailing Address - Fax:407-898-9019
Practice Address - Street 1:601 E COLONIAL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-4602
Practice Address - Country:US
Practice Address - Phone:407-895-9255
Practice Address - Fax:407-898-9019
Is Sole Proprietor?:No
Enumeration Date:2005-11-19
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0033589207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD55016Medicare UPIN
FL47334Medicare ID - Type Unspecified