Individual provider Active NPI

Mayelin Diaz Cuba, FNP-C

  • Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1528724853
Registry record updated Sep 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F10211085 Issued in FL
Practice address
2419 Eagle Trace Dr
Kissimmee, FL 34746-3613
Phone
(407) 301-3520
NPI assigned
Nov 10, 2021
Last updated
Sep 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2025

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 F10211085 FL Primary
Family Nurse Practitioner 363LF0000X APRN11016660 FL

Addresses

Primary practice location

2419 Eagle Trace Dr
Kissimmee, FL 34746-3613

Mailing address

2419 Eagle Trace Dr
Kissimmee, FL 34746-3613
Phone (407) 220-0759

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
I20230324000181 FL Practitioner - Nurse Practitioner 4486028982 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F10211085FLMDNurse Practitioner
APRN11016660FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Technology Network Inc CurrentSince Apr 8, 2024 Accepting new patients
WT Health of Florida LLC CurrentSince Mar 8, 2025 Accepting new patients
Wound Technology Network Past Accepting new patients

Locations

5979 Vineland Rd
Ste 109
Orlando, FL 32819
Phone (407) 270-7702

Organizations & group practices 4

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": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757203200000",
    "number": "1528724853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 EAGLE TRACE DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347463613",
            "telephone_number": "407-220-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 EAGLE TRACE DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347463613",
            "telephone_number": "407-301-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ CUBA",
        "first_name": "MAYELIN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2025-09-07",
        "certification_date": "2025-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "F10211085",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11016660",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.