Individual provider Active NPI

Mariela Diaz Alonso, ARNP

  • Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1053096347
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11025631 Issued in FL
Practice address
1650 Sand Lake Rd Ste 114a
Orlando, FL 32809-7712
Phone
(407) 988-1177
NPI assigned
Jun 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11025631 FL Primary

Addresses

Primary practice location

1650 Sand Lake Rd Ste 114a
Orlando, FL 32809-7712

Mailing address

3311 Craggy Bluff PL
Cocoa, FL 32926-7419
Phone (321) 394-5540

Other practice location 1

3311 Craggy Bluff Pl
Cocoa, FL 32926-7419
Phone (321) 394-5540

Other names 1

  • Dr. Mariela Isabel Diaz Alonso Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240209000340 FL Practitioner - Nurse Practitioner 4183067846 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalief Medical Center Inc CurrentSince Jan 14, 2025 Accepting new patients
Neurological Health Associates, L.L.C. PastSince Jun 1, 2023 Accepting new patients
Neurological Health Associates PastSince Jun 1, 2023 Accepting new patients

Locations

1650 Sand Lake Rd
Ste 114A
Orlando, FL 32809
Phone (321) 800-6123

1456 S Semoran Blvd
Orlando, FL 32807
Phone (321) 800-6123

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1053096347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 CRAGGY BLUFF PL",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329267419",
            "telephone_number": "321-394-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SAND LAKE RD STE 114A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097712",
            "telephone_number": "407-988-1177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3311 Craggy Bluff Pl",
            "address_purpose": "LOCATION",
            "city": "Cocoa",
            "state": "FL",
            "postal_code": "329267419",
            "country_code": "US",
            "telephone_number": "321-394-5540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ ALONSO",
        "first_name": "MARIELA",
        "name_prefix": "Dr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11025631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIELA",
            "last_name": "DIAZ ALONSO",
            "middle_name": "ISABEL",
            "prefix": "DR.",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.