Individual provider Active NPI

Mariangela Canaan, MD

  • Infectious Disease Physician
  • Winter Park, FL
National Provider Identifier
1689876344
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME 103159 Issued in FL
Practice address
185 N Lakemont Ave Ste B
Winter Park, FL 32792-3203
Phone
(305) 595-4590
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME 103159 FL Primary

Addresses

Primary practice location

185 N Lakemont Ave Ste B
Winter Park, FL 32792-3203

Mailing address

185 N Lakemont Ave Ste B
Winter Park, FL 32792-3203
Phone (305) 595-4590

Other identifiers 1

IdentifierTypeStateIssuer
008797400MedicaidFL

Other names 1

  • Mariangela Pena Gonzalez Former name

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
I20090709000325 FL Practitioner - Infectious Disease 4183776941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Infectious Disease Care LLCGroup PAC ID 2668541285, 5 clinicians

Practice addresses (Care Compare)

185 N Lakemont Ave
Suite B
Winter Park, FL 32792-3203
Phone (321) 422-3660

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.98 of 100Reported as group
Quality
99.47
Improvement activities
0
Cost
83.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 103159FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Infectious Disease Care LLC Infectious Disease CurrentSince Oct 1, 2022 Accepting new patients

Locations

185 N Lakemont Ave
Ste B
Winter Park, FL 32792
Phone (321) 422-3660

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 2

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1689876344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 N LAKEMONT AVE STE B",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923203",
            "telephone_number": "305-595-4590",
            "fax_number": "305-279-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 N LAKEMONT AVE STE B",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923203",
            "telephone_number": "305-595-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANAAN",
        "first_name": "MARIANGELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME 103159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008797400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANGELA",
            "last_name": "PENA GONZALEZ",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.