Individual provider Active NPI

Mariol Paez, APRN

  • Family Nurse Practitioner
  • Doral, FL
National Provider Identifier
1265038483
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11001040 Issued in FL
Practice address
9250 NW 36TH St Ste 420
Doral, FL 33178-2775
Phone
(305) 266-2929
Fax
(305) 363-5965
NPI assigned
Dec 11, 2020
Last updated
Apr 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11001040 FL Primary

Addresses

Primary practice location

9250 NW 36TH St Ste 420
Doral, FL 33178-2775

Mailing address

13261 NW 9TH Ter
Miami, FL 33182-1824
Phone (786) 417-3008

Other practice location 1

13261 NW 9th Ter
Miami, FL 33182-1824
Phone (786) 417-3008

Other practice location 2

11825 SW 26th St
Miami, FL 33175-2464
Phone (305) 266-2929

Other practice location 3

7200 NW 7th St Ste 150
Miami, FL 33126-2941
Phone (305) 266-2929

Other practice location 4

4767 NW 183rd St
Miami Gardens, FL 33055-2933
Phone (305) 266-2929

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
I20211103001045 FL Practitioner - Nurse Practitioner 9032499249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centrum Medical Holdings, LLCGroup PAC ID 8820422991, 51 clinicians

Practice addresses (Care Compare)

7200 NW 7TH St
Suite 150
Miami, FL 33126-2941
Phone (305) 266-2929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11001040FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Med Care Centers LLC Current Accepting new patients
Medcare Centers LLC CurrentSince May 11, 2024 Accepting new patients
Centrum Medical Holdings, LLC Current Accepting new patients
Medcare Centers, LLC CurrentSince May 11, 2024 Accepting new patients
Centrum Medical Holdings, LLC Dba Centrum Health CurrentSince Jul 28, 2021 Accepting new patients
Centrum Medical Centers Kendall, LLC CurrentSince Jul 28, 2021 Accepting new patients
A & a Health Service, Inc. PastSince May 1, 2005 Accepting new patients

Locations

10980 SW 184th St
Cutler Bay, FL 33157
Phone (305) 266-2928

9250 NW 36th St
Ste 420
Doral, FL 33178
Phone (786) 873-1805

11825 SW 26th St
Miami, FL 33175
Phone (786) 447-4582

7200 NW 7th St
Ste 150
Miami, FL 33126
Phone (305) 264-6270

4767 NW 183rd St
Miami Gardens, FL 33055
Phone (305) 351-9337

5730 SW 74th St
Ste 200
South Miami, FL 33143

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
A & a Health Service, Inc.Hialeah, FL, CCN 108095 Home health agency W-2 Managing Employee May 1, 2005

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1265038483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13261 NW 9TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331821824",
            "telephone_number": "786-417-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 NW 36TH ST STE 420",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782775",
            "telephone_number": "305-266-2929",
            "fax_number": "305-363-5965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13261 NW 9th Ter",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331821824",
            "country_code": "US",
            "telephone_number": "786-417-3008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11825 SW 26th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331752464",
            "country_code": "US",
            "telephone_number": "305-266-2929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7200 NW 7th St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331262941",
            "country_code": "US",
            "telephone_number": "305-266-2929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4767 NW 183rd St",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "330552933",
            "country_code": "US",
            "telephone_number": "305-266-2929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAEZ",
        "first_name": "MARIOL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11001040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.