Individual provider Active NPI

Mireya Llense, M.D.,

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1407905193
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME86749 Issued in FL
Practice address
8560 SW 20TH Ter
Miami, FL 33155-1050
Phone
(786) 942-1667
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME86749 FL Primary

Addresses

Primary practice location

8560 SW 20TH Ter
Miami, FL 33155-1050

Mailing address

8560 SW 20TH Ter
Miami, FL 33155-1050
Phone (786) 942-1667

Other identifiers 1

IdentifierTypeStateIssuer
261377800MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240530000037 FL Order and Referring Only - General PracticePractitioner - General Practice 4587550819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME86749FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Medical Access (Cma) Inc Past Accepting new patients
Oracle Health Systems Inc Past Accepting new patients

Organizations & group practices 2

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1407905193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8560 SW 20TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551050",
            "telephone_number": "786-942-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8560 SW 20TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551050",
            "telephone_number": "786-942-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLENSE",
        "first_name": "MIREYA",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME86749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261377800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.