Mrs. Niurka Emilia Del Sol, ARNP

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Centerwell Senior Primary Care Fl Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 106 clinicians in the practice; 12 are shown here.

• Dr. Anthony Altino, MD Internal Medicine Physician · Orlando, FL
• Carlos A Bayona, ARNP Nurse Practitioner · Altamonte Springs, FL
• Gladys Maria Duarte, MD General Practice Physician · Lady Lake, FL
• Arnold W Fleischmann, MD Internal Medicine Physician · Orlando, FL
• Yazahira Hernandez-Saavedra, MD General Practice Physician · Saint Cloud, FL
• Anne J Lafontant, MD General Practice Physician · Kissimmee, FL
• Maria G. Montanez, FNP Family Nurse Practitioner · Kissimmee, FL
• Dr. Arelis Rodriguez Caban, MD General Practice Physician · Orlando, FL
• Juan Rodriguez-Rodriguez, MD Internal Medicine Physician · Orlando, FL
• Mr. Josselin Vachon, MD Cardiovascular Disease Physician · Altamonte Springs, FL
• Jared Hunter West, MD General Practice Physician · Casselberry, FL
• Lizbeth Leonor Zambrano, DO, MS Family Medicine Physician · Apopka, FL

Other providers in Casselberry

• Yoselyn Rodriguez Valdes, RN

  Individual Registered Nurse · NPI 1124981162

  515 Ivanhoe Way, Casselberry, FL 32707-5032 · (407) 457-0081

• Sally Springman, RN

  Individual Registered Nurse · NPI 1043570153

  3978 Haynes Cir, Casselberry, FL 32707-6326 · (407) 699-6624

• Faith Select Zolfaghari

  Individual Registered Nurse · NPI 1386269017

  1120 State Road 436 Ste 1600, Casselberry, FL 32707-6182 · (407) 322-8645