Individual provider Active NPI

Mayra C Marrero, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1588089411
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9339298 Issued in FL
Practice address
1490 NW 27TH Ave
Suite 130
Miami, FL 33125-2157
Phone
(305) 635-7710
Fax
(305) 637-8122
NPI assigned
Mar 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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 9339298 FL Primary

Addresses

Primary practice location

1490 NW 27TH Ave
Suite 130
Miami, FL 33125-2157

Mailing address

1490 NW 27TH Ave
Suite 130
Miami, FL 33125-2157
Phone (305) 635-7710

Other identifiers 1

IdentifierTypeStateIssuer
010740700MedicaidFL

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
I20140617000340 FL Practitioner - Nurse Practitioner 2264656180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Medical Group of Miami, LLCGroup PAC ID 2062659899, 4 clinicians

Practice addresses (Care Compare)

1490 NW 27TH Ave
Suite 130
Miami, FL 33125-2173
Phone (305) 635-7710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9339298FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Group of Miami, LLC. CurrentSince Apr 6, 2014 Accepting new patients

Locations

6100 Blue Lagoon Dr
Ste 365
Miami, FL 33126
Phone (786) 322-7333

1490 NW 27th Ave
Ste 130
Miami, FL 33125
Phone (305) 635-7710

Interoperability endpoints

  • Direct secure messaging: mayra.marrero@cmg.eclinicaldirectplus.com

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, 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": "1393632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1588089411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 NW 27TH AVE",
            "address_2": "SUITE 130",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252157",
            "telephone_number": "305-635-7710",
            "fax_number": "305-637-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 NW 27TH AVE",
            "address_2": "SUITE 130",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252157",
            "telephone_number": "305-635-7710",
            "fax_number": "305-637-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "MAYRA",
        "middle_name": "C",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-01",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9339298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010740700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.