Active NPI
Mayra Perez Padron, ARNP
- Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11032115
- Practice address
- 5564 E Grant St
Orlando, FL 32822-1666 - Phone
- (786) 817-9050
- NPI assigned
- Mar 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11032115 | FL | |
| Nurse Practitioner | 363L00000X | APRN11032115 | FL | Primary |
Addresses
Primary practice location
5564 E Grant St
Orlando, FL 32822-1666
Mailing address
4598 Conway Landing Dr
Orlando, FL 32812-8116
Phone (786) 817-9050
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5564 E Grant St
Orlando, FL 32822-1666
Phone (321) 235-6230
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11032115 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caremax Medical Centers of Central Florida LLC | Current | Accepting new patients | |
| Interamerican Medical Center Group LLC | Current | Accepting new patients | |
| Interamerican Medical Center Group LLC | Current | Accepting new patients | |
| Caremax Medical Centers of Central Florida, LLC | Current | Accepting new patients | |
| Caremax Medical Centers of Central Florida, LLC | Current | Accepting new patients | |
| Interamerican Medical Center Group LLC | Current | Accepting new patients | |
| Claremedica Viking LLC | Current | Accepting new patients | |
| Senior Medical Associates LLC | Past | Accepting new patients |
Locations
1000 NW 57th Ct
Ste 400
Miami, FL 33126
15105 NW 77th Ave
Fl 4
Miami Lakes, FL 33014
Phone (305) 455-2737
5564 E Grant St
Orlando, FL 32822
Phone (321) 235-6230
7208 N Sterling Ave
Tampa, FL 33614
Phone (813) 932-6600
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- mayra.perezpadron.p1@direct.caremax.nextgenshare.com
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Homestead, FL
- NPI 1992520118
-
- Clinic/Center
- Orlando, FL
- NPI 1639848039
-
- Family Medicine Physician
- Miami, FL
- NPI 1144543216
-
- Clinic/Center
- Port St Lucie, FL
- NPI 1225731102
-
- Clinic/Center
- Kissimmee, FL
- NPI 1902575301
-
- Family Medicine Physician
- Miami, FL
- NPI 1447547765
-
- Family Medicine Physician
- Miami, FL
- NPI 1982146122
-
- Family Medicine Physician
- Coral Springs, FL
- NPI 1881358299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1235980921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4598 CONWAY LANDING DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328128116",
"telephone_number": "786-817-9050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5564 E GRANT ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328221666",
"telephone_number": "786-817-9050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ PADRON",
"first_name": "MAYRA",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-29",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11032115",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11032115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.