Individual provider Active NPI

Mayra R Lomonaco, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Boynton Beach, FL
National Provider Identifier
1114366861
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME137220 Issued in FL
Practice address
6056 Boynton Beach Blvd Ste 245
Boynton Beach, FL 33437-3587
Phone
(561) 659-6336
Fax
(561) 659-9353
NPI assigned
Jun 17, 2013
Last updated
Oct 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X TRN19212 FL
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X ME137220 FL Primary

Addresses

Primary practice location

6056 Boynton Beach Blvd Ste 245
Boynton Beach, FL 33437-3587

Mailing address

1515 N Flagler Dr Ste 430
West Palm Beach, FL 33401-3430
Phone (561) 659-6336

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
I20181212000325 FL Practitioner - Endocrinology 4981838992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Palm Beach Diabetes and Endocrine Specialists PAGroup PAC ID 5698736601, 20 clinicians

Practice addresses (Care Compare)

6056 Boynton Beach Blvd
Suite 245
Boynton Beach, FL 33437-3587
Phone (561) 639-6336

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Diabetes and Endocrine Specialists PA Single Specialty CurrentSince Aug 28, 2023 Accepting new patients
Florida Clinical Practice Association Inc Single Specialty CurrentSince Oct 1, 2018 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Oct 1, 2018 Accepting new patients

Locations

6056 Boynton Beach Blvd
Ste 245
Boynton Beach, FL 33437
Phone (561) 639-6336

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Rm 4102
Gainesville, FL 32610
Phone (352) 265-0655

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

1515 N Flagler Dr
Ste 430
West Palm Beach, FL 33401

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBGIAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1114366861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N FLAGLER DR STE 430",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013430",
            "telephone_number": "561-659-6336",
            "fax_number": "561-659-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6056 BOYNTON BEACH BLVD STE 245",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373587",
            "telephone_number": "561-659-6336",
            "fax_number": "561-659-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMONACO",
        "first_name": "MAYRA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN19212",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME137220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.