Active NPI
Chirlyn Urena Paulino, M.D.
- Pediatrics Physician
- Longwood, FL
National Provider Identifier
1467849463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME135503
- Practice address
- 1400 W State Road 434 Ste 1010
Longwood, FL 32750-3817 - Phone
- (407) 644-9970
- Fax
- (407) 644-6926
- NPI assigned
- Apr 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME135503 | FL | Primary |
Addresses
Primary practice location
1400 W State Road 434 Ste 1010
Longwood, FL 32750-3817
Mailing address
1400 W State Road 434 Ste 1010
Longwood, FL 32750-3817
Phone (407) 644-9970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024193900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME135503 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One World Pediatrics | Pediatrics | Past | Accepting new patients |
| Children's Health Alliance, LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Orlando, FL
- NPI 1366709321
-
- Pediatrics Physician
- Longwood, FL
- NPI 1467891531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1467849463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 W STATE ROAD 434 STE 1010",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327503817",
"telephone_number": "407-644-9970",
"fax_number": "407-644-6926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 W STATE ROAD 434 STE 1010",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327503817",
"telephone_number": "407-644-9970",
"fax_number": "407-644-6926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URENA PAULINO",
"first_name": "CHIRLYN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-17",
"last_updated": "2022-01-04",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME135503",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024193900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.