Active NPI
Premier Podiatry Associates, LLC
- Foot & Ankle Surgery Podiatrist
- Altamonte Springs, FL
National Provider Identifier
1700691672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- PREMIER PODIATRY ASSOCIATES, LLC
- Practice address
- 616 E Altamonte Dr.
Ste #205
Altamonte Springs, FL 32701-4810 - Phone
- (407) 813-2413
- Fax
- (407) 792-1019
- NPI assigned
- Feb 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cristina Maria Corrales-Aguilar
- Title
- Office Manager
- Phone
- (407) 813-2413
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | |||
| Public Medicine Podiatrist | 213EP0504X | |||
| Primary Podiatric Medicine Podiatrist | 213EP1101X | |||
| Radiology Podiatrist | 213ER0200X | |||
| Sports Medicine Podiatrist | 213ES0000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary | ||
| Foot Surgery Podiatrist | 213ES0131X |
Addresses
Primary practice location
616 E Altamonte Dr.
Ste #205
Altamonte Springs, FL 32701-4810
Mailing address
616 E Altamonte Dr Ste 205
Altamonte Springs, FL 32701-4810
Phone (407) 813-2413
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126433900 | Medicaid | FL |
Other names 1
- Premier Podiatry Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Podiatric Medicine Podiatrist
- Altamonte Springs, FL
- NPI 1659431583
-
- Primary Podiatric Medicine Podiatrist
- Altamonte Springs, FL
- NPI 1609139559
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752537600000",
"number": "1700691672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 E ALTAMONTE DR STE 205",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327014810",
"telephone_number": "407-813-2413",
"fax_number": "407-378-6017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 E ALTAMONTE DR.",
"address_2": "STE #205",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327014810",
"telephone_number": "407-813-2413",
"fax_number": "407-792-1019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER PODIATRY ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-10",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A",
"authorized_official_last_name": "CORRALES-AGUILAR",
"authorized_official_first_name": "CRISTINA",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "407-813-2413",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "213EP0504X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Public Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ER0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126433900",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Premier Podiatry Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.