Active NPI
Astrid Rosado-Mulero, PA-C
- Medical Physician Assistant
- Kissimmee, FL
National Provider Identifier
1841172764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9120611
- Practice address
- 790 Buenaventura Blvd
Kissimmee, FL 34743-8128 - Phone
- (407) 348-0990
- Fax
- (407) 944-9041
- NPI assigned
- Jul 22, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9120611 | FL | Primary |
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
790 Buenaventura Blvd
Kissimmee, FL 34743-8128
Mailing address
790 Buenaventura Blvd
Kissimmee, FL 34743-8128
Phone (407) 348-0990
Other practice location 1
Res Magnolia Gdns # 11H20
Bayamon, PR 00956-7100
Phone (787) 424-3037
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128398500 | Medicaid | FL |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1335 Sligh Blvd
MP38
Orlando, FL 32806-3901
PO Box
Orlando, FL 32891
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1568693554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1841172764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 BUENAVENTURA BLVD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347438128",
"telephone_number": "407-348-0990",
"fax_number": "407-944-9041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 BUENAVENTURA BLVD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347438128",
"telephone_number": "407-348-0990",
"fax_number": "407-944-9041"
}
],
"practiceLocations": [
{
"address_1": "Res Magnolia Gdns # 11H20",
"address_purpose": "LOCATION",
"city": "Bayamon",
"state": "PR",
"postal_code": "009567100",
"country_code": "US",
"telephone_number": "787-424-3037",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSADO-MULERO",
"first_name": "ASTRID",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-22",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9120611",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128398500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.