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Center for Individualized Medicine and Age Management, Inc

Family Medicine Physician in Orlando, FL · enumerated 2013 · authorized official Mildred Donis-Rivera, Osner/President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1447689203

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Registry record

Entity type Organization (Type 2)
Legal business name Center for Individualized Medicine and Age Management, Inc
Other name <Unavail>
Practice address 11616 Lake Underhill Rd, Ste 205, Orlando, FL, 32825
Fax (407) 273-1928
Enumeration date Nov 2, 2013
Last updated in NPPES Nov 2, 2013

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License ME55637 (FL) Primary

Authorized official

Name Mildred Donis-Rivera
Title Osner/President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-11-02. Verify at npiregistry.cms.hhs.gov.
Where is Center for Individualized Medicine and Age Management, Inc located?
The practice location on file with NPPES is in Orlando, FL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-11-02.