Individual provider Active NPI

Luisa Ozema Mena, M.D.

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1700291176
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME152059 Issued in FL
Practice address
801 N Magnolia Ave Ste 106
Orlando, FL 32803-3841
Phone
(321) 800-2922
NPI assigned
Jun 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME152059 FL Primary

Addresses

Primary practice location

801 N Magnolia Ave Ste 106
Orlando, FL 32803-3841

Mailing address

801 N Magnolia Ave Ste 106
Orlando, FL 32803-3841
Phone (321) 800-2922

Other identifiers 1

IdentifierTypeStateIssuer
014885600MedicaidFL

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
I20150619001928 FL Practitioner - General PracticePractitioner - Family Practice 9436460227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
26Health, IncGroup PAC ID 1951539220, 8 clinicians

Practice addresses (Care Compare)

801 N Magnolia Ave
Orlando, FL 32803-3842

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME152059FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
26Health, Inc CurrentSince Apr 29, 2025 Accepting new patients

Locations

801 N Magnolia Ave
Ste 106
Orlando, FL 32803
Phone (321) 800-2922

801 N Magnolia Ave
Ste 220
Orlando, FL 32803
Phone (407) 963-5664

801 N Magnolia Ave
Orlando, FL 32803
Phone (321) 800-2922

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.

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1700291176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N MAGNOLIA AVE STE 106",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033841",
            "telephone_number": "321-800-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N MAGNOLIA AVE STE 106",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033841",
            "telephone_number": "321-800-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENA",
        "first_name": "LUISA",
        "middle_name": "OZEMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME152059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014885600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.