DR. DIEUDONNE MITIAL M.D., M.H.S.A
NPI 1750766465
General Practice in Port St Lucie, FL

Active since July 23, 2015PECOS Enrolled
5323 NW ALOHA ST, PORT ST LUCIE, FL 34986(773) 263-3424 Get Directions Write a Review

NPPES record last updated: February 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Dieudonne Mitial M.d., M.h.s.a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DIEUDONNE MITIAL M.D., M.H.S.A (NPI 1750766465) is an individual general practice provider in Port St Lucie, Florida, licensed in Puerto Rico (19073) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750766465
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. DIEUDONNE MITIALCredential: M.D., M.H.S.A
Location Address5323 NW ALOHA STPort St Lucie, FL 34986-3533
Mailing Address5323 Nw Aloha StPort St Lucie, FL 34986-3533 · (773) 263-3424
Sole ProprietorYes
Enumeration DateJuly 23, 2015
Last NPPES UpdateFebruary 14, 2026
NPPES CertifiedFebruary 14, 2026
NPI 1750766465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in PR · 19073
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
5323 NW ALOHA ST, Port St Lucie, FL 34986

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Dieudonne Mitial M.d., M.h.s.a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dieudonne Mitial's NPI number?

The NPI number for Dieudonne Mitial is 1750766465. It was assigned to this individual provider in the NPPES registry on July 23, 2015.

Where is Dieudonne Mitial located?

Dieudonne Mitial practices at 5323 NW Aloha St, Port St Lucie, FL 34986. The listed phone number is (773) 263-3424.

What is Dieudonne Mitial's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Dieudonne Mitial enrolled in Medicare?

Yes. Dieudonne Mitial is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dieudonne Mitial was last updated on February 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.