Individual provider Active NPI

Alejandro Lazaro Molina, APRN

  • Family Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1275002883
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000954 Issued in FL
Practice address
780 Buenaventura Blvd
Kissimmee, FL 34743-8128
Phone
(407) 274-9590
Fax
(407) 593-6102
NPI assigned
Nov 13, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9424378 FL
Family Nurse Practitioner 363LF0000X APRN11000954 FL Primary

Addresses

Primary practice location

780 Buenaventura Blvd
Kissimmee, FL 34743-8128

Mailing address

425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (321) 332-6947

Other practice location 1

14106 SW 52nd Ter
Miami, FL 33175-5945
Phone (786) 312-7735 ext. 78631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9424378FLMDNurse Practitioner
APRN11000954FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Family Physicians, LLC CurrentSince Oct 21, 2022 Accepting new patients
Palm Medical Centers CurrentSince Oct 21, 2024 Accepting new patients
Health Holdings Company LLC CurrentSince Oct 21, 2024 Accepting new patients
Idelis Fedeslinda Arias de la Torre PastSince Jun 1, 2021 Accepting new patients
Orlando Family Physicians, LLC PastSince Jan 5, 2025 Accepting new patients

Locations

2600 S Douglas Rd
Ste 308
Coral Gables, FL 33134
Phone (305) 777-9590

780 Buenaventura Blvd
Kissimmee, FL 34743
Phone (407) 274-9590

425 W Colonial Dr
Ste 303
Orlando, FL 32804
Phone (321) 332-6947

14807 E Colonial Dr
Ste 112
Orlando, FL 32826
Phone (407) 250-6742

6900 Tavistock Lakes Blvd
Ste 300
Orlando, FL 32827
Phone (321) 332-6947

733 S Goldenrod Rd
Ste B
Orlando, FL 32822
Phone (407) 249-7999

220 Alafaya Woods Blvd
Ste 1000
Oviedo, FL 32765
Phone (407) 542-7335

Organizations & group practices 5

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": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1275002883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "321-332-6947",
            "fax_number": "407-286-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 BUENAVENTURA BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347438128",
            "telephone_number": "407-274-9590",
            "fax_number": "407-593-6102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14106 SW 52nd Ter",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331755945",
            "country_code": "US",
            "telephone_number": "786-312-7735 x78631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "ALEJANDRO",
        "middle_name": "LAZARO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-13",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9424378",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.