Provider Demographics
NPI:1184625675
Name:ORIEL-COMENENCIA, NEMA C (MD)
Entity type:Individual
Prefix:MRS
First Name:NEMA
Middle Name:C
Last Name:ORIEL-COMENENCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NEMA
Other - Middle Name:
Other - Last Name:ORIEL-COMENENCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7148 CURRY FORD RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-5803
Mailing Address - Country:US
Mailing Address - Phone:407-482-2221
Mailing Address - Fax:407-482-2284
Practice Address - Street 1:7148 CURRY FORD RD
Practice Address - Street 2:SUITE 100
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-5803
Practice Address - Country:US
Practice Address - Phone:407-482-2221
Practice Address - Fax:407-482-2284
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81867207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL264425800Medicaid
FL264425800Medicaid
FLE6657XMedicare PIN