Individual provider Active NPI

Massiel Cristina Dos Santos Aguirre, PA-C

  • Physician Assistant
  • Seminole, FL
National Provider Identifier
1508485806
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9112500 Issued in FL
Practice address
7101 Park St
Seminole, FL 33777-4632
Phone
(727) 397-1559
Fax
(727) 391-0838
NPI assigned
Apr 16, 2020
Last updated
May 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9112500 FL Primary

Addresses

Primary practice location

7101 Park St
Seminole, FL 33777-4632

Mailing address

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

Other practice location 1

550 Pope Ave NW Ste 300
Winter Haven, FL 33881-4679
Phone (863) 299-2636

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211029001871 FL Practitioner - Physician Assistant 2567850274 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

10909 W Linebaugh Ave
Tampa, FL 33626-1741
Phone (813) 844-4800

214 Morrison Rd
Suite 110
Brandon, FL 33511-4849
Phone (813) 844-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9112500FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Jan 5, 2025 Accepting new patients
Healthflo Medical Clinics, Inc. CurrentSince Jul 29, 2021 Accepting new patients
Healthflo Medical Clinics Inc CurrentSince Jul 29, 2021 Accepting new patients
Tampa General Medical Group Inc CurrentSince Jan 5, 2025 Accepting new patients
Tampa General Medical Group Inc Past 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

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

117 W Belt Ave
Bushnell, FL 33513
Phone (352) 287-1205

117 W Belt Ave
Ste A
Bushnell, FL 33513
Phone (352) 568-1988

5819 Argerian Dr
Wesley Chapel, FL 33545
Phone (813) 205-0697

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: mdossantosaguirre350673@direct.tgh.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1508485806",
    "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": "7101 PARK ST",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337774632",
            "telephone_number": "727-397-1559",
            "fax_number": "727-391-0838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Pope Ave NW Ste 300",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338814679",
            "country_code": "US",
            "telephone_number": "863-299-2636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOS SANTOS AGUIRRE",
        "first_name": "MASSIEL",
        "middle_name": "CRISTINA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9112500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

Verify at the official NPI Registry.