NPIMap

Organization Active NPI

Theravida Telehealth and Mobile Clinic

  • Primary Care Clinic/Center
  • Cape Coral, FL
National Provider Identifier
1164334892
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
THERAVIDA TELEHEALTH AND MOBILE CLINIC
Practice address
1221 NE 7TH PL
Cape Coral, FL 33909-1344
Phone
(561) 222-6347
NPI assigned
Sep 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Authorized official

Name
Mrs. Maylin Paez, ARNPNPI 1093378622
Title
Owner
Phone
(561) 222-6347

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1221 NE 7TH PL
Cape Coral, FL 33909-1344

Mailing address

1221 NE 7TH PL
Cape Coral, FL 33909-1344
Phone (561) 222-6347

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1164334892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 NE 7TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339091344",
            "telephone_number": "561-222-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 NE 7TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339091344",
            "telephone_number": "561-222-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAVIDA TELEHEALTH AND MOBILE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "PAEZ",
        "authorized_official_first_name": "MAYLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-222-6347",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.