Mavys Palacios Chang, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F06241467 Issued in FL

Practice address

12520 NW 23Rd PL
Miami, FL 33167-1497

Phone

(786) 890-9809

NPI assigned

Jul 10, 2024

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

Other names 1

• Mavys Palacios Fernandez Professional name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• 7TH Avenue Medical Plaza LLC

  • Family Medicine Physician
  • Miami, FL
  • NPI 1851974588

  Single Specialty

  NPD

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1407693104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12520 NW 23RD PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331671497",
            "telephone_number": "786-890-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12520 NW 23RD PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331671497",
            "telephone_number": "786-890-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIOS CHANG",
        "first_name": "MAVYS",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F06241467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAVYS",
            "last_name": "PALACIOS FERNANDEZ",
            "credential": "FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Liz Stefani Palacio
• Lyem Palacio
• Sandra M Palacio
• Susan D Palacio, P.T.
• Leomar Alexandra Palacios Abreu
• Palacios Home Health Care, Inc.
• Julian Palacios Llano
• Daylisis Palacios Morales
• Fidel Gilberto Palacios Paz
• Rafael Palacios Sanchez

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.