Individual provider Active NPI

Cindy Mateo Suero, APRN

  • Nurse Practitioner
  • Lake Mary, FL
National Provider Identifier
1851961742
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11013801 Issued in FL
Practice address
1355 S S International Pkwy
Ste 1451
Lake Mary, FL 32746
Phone
(407) 333-9888
NPI assigned
Jul 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11013801 FL Primary

Addresses

Primary practice location

1355 S S International Pkwy
Ste 1451
Lake Mary, FL 32746

Mailing address

1355 S International Pkwy
Lake Mary, FL 32746-1694
Phone (407) 333-9888

Other names 1

  • Cindy Mateo Professional 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211210001469 FL Practitioner - Nurse Practitioner 6103216817 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11013801FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Center for the Homeless, Inc. CurrentSince Sep 7, 2021 Accepting new patients
Rmed LLC CurrentSince Jul 1, 2023 Accepting new patients
Health Care Center for the Homeless, Inc. CurrentSince Sep 7, 2021 Accepting new patients
Rmed LLC CurrentSince Jul 1, 2023 Accepting new patients
Health Care Center for the Homeless Inc Current Accepting new patients

Locations

2600 Lake Lucien Dr
Ste 112
Maitland, FL 32751
Phone (321) 207-9029

232 N Orange Blossom Trl
Orlando, FL 32805
Phone (407) 428-1672

4426 Old Winter Garden Rd
Orlando, FL 32811
Phone (407) 428-1672

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

Organizations & group practices 5

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": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1851961742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 S INTERNATIONAL PKWY",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461694",
            "telephone_number": "407-333-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S S INTERNATIONAL PKWY",
            "address_2": "STE 1451",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "32746",
            "telephone_number": "407-333-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEO SUERO",
        "first_name": "CINDY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11013801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "MATEO",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.