Individual provider Active NPI

Mayra Acosta, MD

  • Rheumatology Physician
  • Miami, FL
National Provider Identifier
1083861439
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
107229 Issued in FL
Practice address
3661 S Miami Ave Ste 801
Miami, FL 33133-4223
Phone
(305) 860-6260
Fax
(305) 860-6590
NPI assigned
Aug 27, 2008
Last updated
Aug 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 107229 FL Primary

Addresses

Primary practice location

3661 S Miami Ave Ste 801
Miami, FL 33133-4223

Mailing address

3661 S Miami Ave Ste 801
Miami, FL 33133-4223
Phone (305) 860-6260

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
I20120713000181 FL Practitioner - RheumatologyPractitioner - Internal Medicine 2466617618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Puerto Rico School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carlos M Alonso MD PAGroup PAC ID 2567446248, 4 clinicians

Practice addresses (Care Compare)

3659 S Miami Ave
Suite 3005
Miami, FL 33133-4225
Phone (305) 860-6260

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
107229FLMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos M Alonso MD PA Rheumatology CurrentSince Jul 1, 2012 Accepting new patients
Carlos M Alonso MD PA CurrentSince Nov 27, 2022 Accepting new patients

Locations

11760 SW 40th St
Ste 622A
Miami, FL 33175
Phone (305) 559-9860

3659 S Miami Ave
Ste 3005
Miami, FL 33133
Phone (305) 860-6260

3661 S Miami Ave
Ste 801
Miami, FL 33133
Phone (305) 860-6260

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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

Hospital & facility affiliations 2

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": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1083861439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE STE 801",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334223",
            "telephone_number": "305-860-6260",
            "fax_number": "305-860-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE STE 801",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334223",
            "telephone_number": "305-860-6260",
            "fax_number": "305-860-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "MAYRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "107229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.