Provider Demographics
NPI:1851555759
Name:ORMENO LOPEZ, HEIDY CECILIA (MD)
Entity type:Individual
Prefix:DR
First Name:HEIDY
Middle Name:CECILIA
Last Name:ORMENO LOPEZ
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:HEIDY
Other - Middle Name:CECILIA ANA
Other - Last Name:ORMENO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1425 TUSKAWILLA RD STE 221
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-5289
Mailing Address - Country:US
Mailing Address - Phone:407-775-5315
Mailing Address - Fax:407-287-6835
Practice Address - Street 1:1425 TUSKAWILLA RD STE 221
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-5289
Practice Address - Country:US
Practice Address - Phone:407-775-5315
Practice Address - Fax:407-287-6835
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME109010207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14H2BOtherBCBS
FLFL611ZMedicare PIN