Individual provider Active NPI

Chirlyn Urena Paulino, M.D.

  • Pediatrics Physician
  • Longwood, FL
National Provider Identifier
1467849463
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME135503 Issued in FL
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

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
024193900MedicaidFL

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

LicenseStateTypeSpecialty
ME135503FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One World Pediatrics Pediatrics PastSince Jan 17, 2022 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.

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.

Verify at the official NPI Registry.