Individual provider Active NPI

Majela Mayo Quintero, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1487337689
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11028044 Issued in FL
Practice address
470 NW 47TH Ave Apt 3
Miami, FL 33126-2135
Phone
(786) 234-1751
NPI assigned
Aug 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 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 11028044 FL Primary

Addresses

Primary practice location

470 NW 47TH Ave Apt 3
Miami, FL 33126-2135

Mailing address

470 NW 47TH Ave Apt 3
Miami, FL 33126-2135
Phone (786) 234-1751

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
I20231005001602 FL Practitioner - Nurse Practitioner 8224483607

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11028044FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piris Medical Center LLC CurrentSince Sep 27, 2023 Accepting new patients

Locations

16050 US Highway 41 S
Ste 109
Fort Myers, FL 33908
Phone (239) 218-8760

13335 SW 124th St
Ste 204
Miami, FL 33186
Phone (786) 671-8749

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": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1487337689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 NW 47TH AVE APT 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262135",
            "telephone_number": "786-234-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 NW 47TH AVE APT 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262135",
            "telephone_number": "786-234-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO QUINTERO",
        "first_name": "MAJELA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11028044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.