Provider Demographics
NPI:1952004467
Name:MAYAS TRUSTED HEALTHCARE LLC
Entity Type:Organization
Organization Name:MAYAS TRUSTED HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP-C
Authorized Official - Prefix:
Authorized Official - First Name:MAYELIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ CUBA
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:407-301-3520
Mailing Address - Street 1:2419 EAGLE TRACE DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-3613
Mailing Address - Country:US
Mailing Address - Phone:407-301-3520
Mailing Address - Fax:
Practice Address - Street 1:2419 EAGLE TRACE DR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746-3613
Practice Address - Country:US
Practice Address - Phone:407-301-3520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-23
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty