Active NPI
Maria Minamahal Patino, M.D.
- Internal Medicine Physician
- Orlando, FL
National Provider Identifier
1194845628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME127722
- Practice address
- 13800 Veterans Way
Orlando, FL 32827-7401 - Phone
- (407) 631-1000
- NPI assigned
- Mar 29, 2007
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 57-009901 | OH | |
| Internal Medicine Physician | 207R00000X | ME127722 | FL | Primary |
| Internal Medicine Physician | 207R00000X | 047172 | CT |
Addresses
Primary practice location
13800 Veterans Way
Orlando, FL 32827-7401
Mailing address
8217 Marbella View CT
Orlando, FL 32817-1560
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017743300 | Medicaid | FL | |
| ME127722 | Other | FL | MEDICAL LICENSE |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200528001521 | FL | Order and Referring Only - Internal Medicine | 1355499278 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57-009901 | OH | MD | Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1194845628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8217 MARBELLA VIEW CT",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328171560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13800 VETERANS WAY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277401",
"telephone_number": "407-631-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATINO",
"first_name": "MARIA",
"middle_name": "MINAMAHAL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2023-03-07",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "OH",
"license": "57-009901",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME127722",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "047172",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017743300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME127722",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.