Individual provider Active NPI

Marisara Cintron Lorenzo, MD

  • Pediatrics Physician
  • Orlando, FL
National Provider Identifier
1912049321
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ACN940 Issued in FL
Practice address
8010 W Colonial Dr Unit 146-162
Orlando, FL 32818-6101
Phone
(407) 434-8080
Fax
(407) 434-8084
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ACN940 FL Primary

Addresses

Primary practice location

8010 W Colonial Dr Unit 146-162
Orlando, FL 32818-6101

Mailing address

13030 Bottesford Dr
Orlando, FL 32832-6470
Phone (787) 397-3344

Other identifiers 1

IdentifierTypeStateIssuer
022976300MedicaidFL

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
I20200520001807 FL Practitioner - Pediatric Medicine 8123459443 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN940FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Claremedica Viking LLC CurrentSince Feb 3, 2025 Accepting new patients
Interamerican Medical Center Group LLC CurrentSince Aug 1, 2024 Accepting new patients
Interamerican Medical Center Group LLC Current Accepting new patients
Interamerican Medical Center Group LLC CurrentSince Aug 1, 2024 Accepting new patients
Senior Medical Associates LLC Past Accepting new patients

Locations

1000 NW 57th Ct
Ste 400
Miami, FL 33126

8010 W Colonial Dr
Unit 146162
Orlando, FL 32818
Phone (407) 343-8080

7208 N Sterling Ave
Tampa, FL 33614
Phone (813) 932-6600

Interoperability endpoints

  • Direct secure messaging: marisara.cintronlorenzo.p1@direct.caremax.nextgenshare.com

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1912049321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13030 BOTTESFORD DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326470",
            "telephone_number": "787-397-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 W COLONIAL DR UNIT 146-162",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328186101",
            "telephone_number": "407-434-8080",
            "fax_number": "407-434-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINTRON LORENZO",
        "first_name": "MARISARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ACN940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022976300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.