Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lilian Daniela Mairena, PA

Individual provider Physician Assistant · NPI 1114748548

Lilian Daniela Mairena, PA is a Physician Assistant in Port St Lucie, Florida. Qualified in 2024, 2 years ago. Practices with Coastal Orthopaedics and Sports Medicine Center, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

7710 S US Highway 1
Port St Lucie, FL 34952-2320
Phone: (772) 335-5300
Fax: (772) 200-2131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2221 Se Ocean Blvd Ste 200, Stuart, FL 34996-3341 — (772) 446-7209

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9119460 (FL)

Record details

NPI number1114748548
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 18, 2024
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Coastal Orthopaedics And Sports Medicine Center — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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