OrganizationActive
Bernard A. Prudencio M.d.pa
NPI 1942510672 · General Practice Physician · Welaka, FL
Provider details
- NPI number
- 1942510672
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rebecca Prudencio, Office Manager(386) 467-9047
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
673 Third Ave
Welaka, FL 32193-0619
Phone: (386) 467-9047
Fax: (386) 467-8512
Street-level locationGet directions
Mailing address
673 Third Ave
Welaka, FL 32193-0619
Registry dates
- Enumerated
- 2010-10-15
- Last updated
- 2010-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.