Individual provider Active NPI

Luis R Garcia-Mayol, MD

  • Nephrology Physician
  • Coral Gables, FL
National Provider Identifier
1003816463
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME0037831 Issued in FL
Practice address
747 Ponce de Leon Blvd
Suite 605
Coral Gables, FL 33134-2049
Phone
(305) 445-4535
Fax
(305) 441-1879
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME0037831 FL Primary

Addresses

Primary practice location

747 Ponce de Leon Blvd
Suite 605
Coral Gables, FL 33134-2049

Mailing address

747 Ponce de Leon Blvd
Suite 605
Coral Gables, FL 33134-2049
Phone (305) 445-4535

Other identifiers 1

IdentifierTypeStateIssuer
065186900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110518000553 FL Practitioner - NephrologyPractitioner - Internal Medicine 4082794714 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Kidney Physicians LLCGroup PAC ID 4385925650, 167 clinicians

Practice addresses (Care Compare)

747 Ponce de Leon Blvd
Suite 605
Coral Gables, FL 33134-2074
Phone (305) 445-4535

Hospital & facility affiliations

  • DaVita Interamerican Dialysis Center Dialysis facility, Miami, FL, CCN 102532

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as group
Quality
70.52
Promoting interoperability
100
Improvement activities
40
Cost
73.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Kidney Physicians , LLC Nephrology CurrentSince May 1, 2022 Accepting new patients
Luis R. Garcia-Mayol, MD PA Nephrology CurrentSince Feb 15, 2001 Accepting new patients
Florida Kidney Physicians , LLC Nephrology CurrentSince May 1, 2022 Accepting new patients
Florida Kidney Physicians, LLC Nephrology Current Accepting new patients

Locations

747 Ponce de Leon Blvd
Ste 605
Coral Gables, FL 33134
Phone (305) 444-6167

1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173

19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558

12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708

Networks

  • AL HMO D-SNP
  • FL HMO
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • Freedom Health HMO Network
  • AL HMO
  • FL HMO C-SNP
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • FL HMO D-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
  • Direct secure messaging: luis.garcia-mayol.1@15644.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1003816463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 PONCE DE LEON BLVD",
            "address_2": "SUITE 605",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342049",
            "telephone_number": "305-445-4535",
            "fax_number": "305-441-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 PONCE DE LEON BLVD",
            "address_2": "SUITE 605",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342049",
            "telephone_number": "305-445-4535",
            "fax_number": "305-441-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-MAYOL",
        "first_name": "LUIS",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME0037831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065186900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.