Active NPI
Iliana E Mastrapa Corominas, ARNP
- Primary Care Nurse Practitioner
- Orlando, FL
National Provider Identifier
1538605266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- ARNP9440067
- Practice address
- 5979 Vineland Rd
Orlando, FL 32819-7800 - Phone
- (407) 627-0066
- Fax
- (407) 440-4054
- NPI assigned
- Jan 19, 2017
- Last updated
- Apr 4, 2018
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | ARNP9440067 | FL | Primary |
Addresses
Primary practice location
5979 Vineland Rd
Orlando, FL 32819-7800
Mailing address
121 S Orange Ave Ste 940
Orlando, FL 32801-3234
Phone (407) 658-9687
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F1016597 | Other | FL | AMERICAN ACADEMY OF NURSE PRACTITIONERS |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idelis Fedeslinda Arias de la Torre | Past | Accepting new patients | |
| Orlando Family Physicians, LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Seffner, FL
- NPI 1639747595
-
- General Practice Physician
- Orlando, FL
- NPI 1912579673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1538605266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 S ORANGE AVE STE 940",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328013234",
"telephone_number": "407-658-9687",
"fax_number": "407-286-4515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5979 VINELAND RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328197800",
"telephone_number": "407-627-0066",
"fax_number": "407-440-4054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTRAPA COROMINAS",
"first_name": "ILIANA",
"middle_name": "E",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-19",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "ARNP9440067",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
"identifier": "F1016597",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.