Mango Wellness LLC
NPI 1912570987 · Multi-Specialty Clinic/Center · Saint Cloud, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mango Wellness LLC is a Multi-Specialty Clinic/Center organization in Saint Cloud, FL (NPI 1912570987).
Provider details
- NPI number
- 1912570987
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Mangowellness LLC
- Organization subpart
- Yes
- Authorized official
- Siby Puthenpurayil, Owner/Authorized Official(407) 593-2958
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Mangowellness
Registry dates
- Enumerated
- 2021-07-19
- Last updated
- 2025-07-24
- Certified
- 2025-07-24
Frequently asked questions
- What is Mango Wellness LLC's NPI number?
- Mango Wellness LLC's National Provider Identifier (NPI) is 1912570987, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mango Wellness LLC?
- Mango Wellness LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mango Wellness LLC located?
- Mango Wellness LLC's practice location on file with NPPES is 2801 13th St, Saint Cloud, FL 34769-4134.
- What is Mango Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Mango Wellness LLC is (407) 593-2958.
- Does Mango Wellness LLC accept Medicare?
- Mango Wellness LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mango Wellness LLC?
- The authorized official listed on Mango Wellness LLC's NPPES record is Siby Puthenpurayil, Owner/Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mango Wellness LLC's NPI active?
- Yes — Mango Wellness LLC's NPI (1912570987) is active in the NPPES registry as of the last update on 2025-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.