Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jussep Orlando Fombellida Martinez, APRN

Individual provider Family Nurse Practitioner · NPI 1831716067

Jussep Orlando Fombellida Martinez, APRN is a Nurse Practitioner in Orlando, Florida. Qualified in 2020, 6 years ago. Practices with Keiler Heberto Moreno Rivero, PA, a 14-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

5564 E Grant St
Orlando, FL 32822-1666
Phone: (321) 235-6230
Fax: (321) 235-6246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11007910 (FL)

Record details

NPI number1831716067
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedJuly 4, 2020
Last updated in NPPESJanuary 6, 2021
Certification dateJanuary 6, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Keiler Heberto Moreno Rivero, P.A — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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