Individual provider Active NPI

Valeria Mayo

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1447071477
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11035675 Issued in FL
Practice address
12310 NW 17TH Ave
Miami, FL 33167-2359
Phone
(305) 815-6846
NPI assigned
Oct 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11035675 FL Primary

Addresses

Primary practice location

12310 NW 17TH Ave
Miami, FL 33167-2359

Mailing address

12310 NW 17TH Ave
Miami, FL 33167-2359
Phone (305) 815-6846

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
I20250828000659 FL Practitioner - Nurse Practitioner 6103327598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2350 N University Dr
Unit 841224
Pembroke Pines, FL 33084-4100

2605 W Atlantic Ave
Delray Beach, FL 33445-4414

2605 W Atlantic Ave
Suite D102
Delray Beach, FL 33445-0000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11035675FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation for Sickle Cell Disease Research CurrentSince Jun 20, 2025 Accepting new patients

Locations

1685 S State Road 7
Ste 4
Hollywood, FL 33023
Phone (954) 459-4600

2350 N University Dr
Unit 841224
Pembroke Pines, FL 33084

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFEDDD

Organizations & group practices 1

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": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1447071477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12310 NW 17TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331672359",
            "telephone_number": "305-815-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12310 NW 17TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331672359",
            "telephone_number": "305-815-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "VALERIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11035675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.