Individual provider Active NPI

Maryuri Lazara Mayedo Perez, ARNP, NP-C

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1013314210
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-26-511757 Issued in FL
Practice address
11389 W Flagler St
Miami, FL 33174-1185
Phone
(786) 227-0522
NPI assigned
Dec 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 9323431 FL
Behavior Technician 106S00000X RBT-26-511757 FL Primary

Addresses

Primary practice location

11389 W Flagler St
Miami, FL 33174-1185

Mailing address

9162 SW 153Rd PL
Miami, FL 33196-2861
Phone (786) 227-0522

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160115000194 FL Practitioner - Nurse Practitioner 2668783887 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RBT-26-511757FLMDBehavior Technician
ARNP 9323431FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mam Behavior Therapy, LLC CurrentSince Nov 12, 2023 Accepting new patients
Zion Health Care LLC CurrentSince Mar 6, 2019 Accepting new patients
Zion Health Care LLC Current Accepting new patients

Locations

11389 W Flagler St
Miami, FL 33174
Phone (305) 480-2045

1470 NW 107th Ave
Ste G
Sweetwater, FL 33172
Phone (305) 594-8666

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1013314210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9162 SW 153RD PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962861",
            "telephone_number": "786-227-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11389 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741185",
            "telephone_number": "786-227-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYEDO PEREZ",
        "first_name": "MARYURI",
        "middle_name": "LAZARA",
        "credential": "ARNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9323431",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-26-511757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.