Active NPI
Mayas Trusted Healthcare LLC
- Family Nurse Practitioner
- Kissimmee, FL
National Provider Identifier
1952004467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- MAYAS TRUSTED HEALTHCARE LLC
- Practice address
- 2419 Eagle Trace Dr
Kissimmee, FL 34746-3613 - Phone
- (407) 301-3520
- NPI assigned
- Mar 23, 2023
- Last updated
- Mar 27, 2023
- 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
- Mayelin Diaz Cuba, ARNP
- Title
- FNP-C
- Phone
- (407) 301-3520
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
2419 Eagle Trace Dr
Kissimmee, FL 34746-3613
Mailing address
2419 Eagle Trace Dr
Kissimmee, FL 34746-3613
Phone (407) 301-3520
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Kissimmee, FL
- NPI 1528724853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679875200000",
"number": "1952004467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2419 EAGLE TRACE DR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347463613",
"telephone_number": "407-301-3520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2419 EAGLE TRACE DR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347463613",
"telephone_number": "407-301-3520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAYAS TRUSTED HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-23",
"last_updated": "2023-03-27",
"certification_date": "2023-03-27",
"status": "A",
"authorized_official_last_name": "DIAZ CUBA",
"authorized_official_first_name": "MAYELIN",
"authorized_official_title_or_position": "FNP-C",
"authorized_official_telephone_number": "407-301-3520",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.