Individual provider Active NPI

Maria Mercedes Cristancho, M.D

  • Interventional Pain Medicine Physician
  • Lighthouse Point, FL
National Provider Identifier
1487064754
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME138997 Issued in FL
Practice address
2100 NE 36TH St Ste 202
Lighthouse Point, FL 33064-7574
Phone
(954) 934-9856
Fax
(954) 934-9464
NPI assigned
May 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME138997 FL
Interventional Pain Medicine Physician 208VP0014X ME138997 FL Primary

Addresses

Primary practice location

2100 NE 36TH St Ste 202
Lighthouse Point, FL 33064-7574

Mailing address

2100 NE 36TH St Ste 202
Lighthouse Point, FL 33064-7574
Phone (954) 934-9856

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191010002388 FL Practitioner - AnesthesiologyPractitioner - Pain Management 9830483619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2100 NE 36TH St
Suite 202
Lighthouse Point, FL 33064-7574
Phone (954) 934-9856

Hospital & facility affiliations

  • Concierge Home Care Home health agency, Fort Lauderdale, FL, CCN 108325
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • Broward Health Imperial Point Hospital, Fort Lauderdale, FL, CCN 100200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mmco Pain Management LLC Pain Medicine CurrentSince Dec 3, 2021 Accepting new patients

Locations

2100 NE 36th St
Ste 202
Lighthouse Point, FL 33064
Phone (954) 934-9856

1800 N Federal Hwy
Ste 105
Pompano Beach, FL 33062
Phone (754) 999-1746

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHBGCD/Endpoint/BHBGCD

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1487064754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 NE 36TH ST STE 202",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647574",
            "telephone_number": "954-934-9856",
            "fax_number": "954-934-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NE 36TH ST STE 202",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647574",
            "telephone_number": "954-934-9856",
            "fax_number": "954-934-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISTANCHO",
        "first_name": "MARIA",
        "middle_name": "MERCEDES",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-07",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME138997",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME138997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lighthouse Point, FL

Sources for this page

Verify at the official NPI Registry.