Mayrene Alfonso Perez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN1299 Issued in FL

Practice address

6822 W Waters Ave
Tampa, FL 33634-2212

Phone

(813) 280-4909

NPI assigned

Jun 5, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

General Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

My Doctor Medical Group CorpGroup PAC ID 6305100371, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.9 of 100Reported as individual

Quality

69.86

Promoting interoperability

100

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19280/brand/1/csg/1/fhir/r4

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.

• My Doctor Medical Group Corp

  • General Practice Physician
  • Tampa, FL
  • NPI 1295237675
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1124642012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6822 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336342212",
            "telephone_number": "813-280-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6822 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336342212",
            "telephone_number": "813-280-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFONSO PEREZ",
        "first_name": "MAYRENE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yenisleydis Alfonso Delgado
• Neisys Julia Alfonso Fiallo
• Alfonso H Saa MD PA New Corp
• Arianne Alfonso Hernandez
• Rosmeris Alfonso Medina
• Alexis Alfonso
• Camille Marie Alfonso, D.O.
• Dayana Alfonso
• Dennis Anthony Alfonso, MD
• Eliger Alfonso

• General Practice Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.