Individual provider Active NPI

Mayrisleidy Orama

  • Family Medicine Physician
  • Hialeah, FL
National Provider Identifier
1053688697
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 65508 Issued in FL
Practice address
240 Hialeah Dr
Hialeah, FL 33010-5219
Phone
(305) 888-0410
Fax
(305) 888-0450
NPI assigned
Nov 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 65508 FL Primary

Addresses

Primary practice location

240 Hialeah Dr
Hialeah, FL 33010-5219

Mailing address

240 Hialeah Dr
Hialeah, FL 33010-5219
Phone (305) 888-0410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ME 65508FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Future Care Solution LLC Past Accepting new patients

Organizations & group practices 1

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": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1053688697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 HIALEAH DR",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105219",
            "telephone_number": "305-888-0410",
            "fax_number": "305-888-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HIALEAH DR",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105219",
            "telephone_number": "305-888-0410",
            "fax_number": "305-888-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORAMA",
        "first_name": "MAYRISLEIDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 65508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.