Individual provider Active NPI

Maria Dimayuga, FNP-BC

  • Primary Care Nurse Practitioner
  • Weston, FL
National Provider Identifier
1609775378
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11043195 Issued in FL
Practice address
1290 Weston Rd Ste 203
Weston, FL 33326-1909
Phone
(195) 443-6803
NPI assigned
Nov 2, 2026
Last updated
Nov 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11043195 FL Primary

Addresses

Primary practice location

1290 Weston Rd Ste 203
Weston, FL 33326-1909

Mailing address

839 Regal Cove Rd
Weston, FL 33327-2141
Phone (954) 759-1889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1793577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793577600000",
    "number": "1609775378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 REGAL COVE RD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333272141",
            "telephone_number": "954-759-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 WESTON RD STE 203",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333261909",
            "telephone_number": "195-443-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAYUGA",
        "first_name": "MARIA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-11-02",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11043195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.