Individual provider Active NPI

Mayra Perez Padron, ARNP

  • Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1235980921
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11032115 Issued in FL
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

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240626000049 FL Practitioner - Nurse Practitioner 3971047499 Reassigns benefits to 3 organizations

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
Claremedica Viking LLCGroup PAC ID 4789112301, 75 clinicians

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

LicenseStateTypeSpecialty
APRN11032115FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caremax Medical Centers of Central Florida LLC CurrentSince Jun 1, 2024 Accepting new patients
Interamerican Medical Center Group LLC CurrentSince Nov 1, 2024 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 CurrentSince Jun 1, 2024 Accepting new patients
Interamerican Medical Center Group LLC CurrentSince Nov 1, 2024 Accepting new patients
Claremedica Viking LLC CurrentSince Feb 3, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.