Individual provider Active NPI

Luis Joel Rodriguez Maldonado, MSN, ARNP, FNP-BC

  • Family Nurse Practitioner
  • St Cloud, FL
National Provider Identifier
1992420467
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11021681 Issued in FL
Practice address
2801 13TH Street
St Cloud, FL 34769-4134
Phone
(407) 483-3571
Fax
(904) 717-3862
NPI assigned
Oct 7, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11021681 FL Primary

Addresses

Primary practice location

2801 13TH Street
St Cloud, FL 34769-4134

Mailing address

2801 13TH St
Saint Cloud, FL 34769-4134
Phone (407) 483-3571

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
I20231201000557 FL Practitioner - Nurse Practitioner 2163870148 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mango Wellness LLCGroup PAC ID 9931507266, 2 clinicians

Practice addresses (Care Compare)

2801 13TH St
Saint Cloud, FL 34769-4134
Phone (407) 979-4859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11021681FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Urgent Care LLC CurrentSince Nov 2, 2025 Accepting new patients
Mango Wellness LLC CurrentSince May 18, 2025 Accepting new patients

Locations

2801 13th St
Saint Cloud, FL 34769
Phone (407) 593-2958

Interoperability endpoints

  • Direct secure messaging: luis.rodriguezmaldonado@738454811246596.direct.elationemr.com

Organizations & group practices 2

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": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1992420467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 13TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694134",
            "telephone_number": "407-483-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 13TH STREET",
            "city": "ST CLOUD",
            "state": "FL",
            "postal_code": "347694134",
            "telephone_number": "407-483-3571",
            "fax_number": "904-717-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ MALDONADO",
        "first_name": "LUIS",
        "middle_name": "JOEL",
        "credential": "MSN, ARNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-07",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11021681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Cloud, FL

Sources for this page

Verify at the official NPI Registry.