Individual provider Active NPI

Mayre Urdaneta

  • Specialist
  • Miami Lakes, FL
National Provider Identifier
1598744914
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME73691 Issued in FL
Practice address
8060 NW 155TH St Ste 201
Miami Lakes, FL 33016-5883
Phone
(305) 826-0606
NPI assigned
Jan 13, 2006
Last updated
Feb 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME73691 FL Primary

Addresses

Primary practice location

8060 NW 155TH St Ste 201
Miami Lakes, FL 33016-5883

Mailing address

7320 NW 114TH Ave
Apt 204
Doral, FL 33178-5588
Phone (305) 826-0606

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
I20040224000145 FL Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Family PracticePractitioner - Geriatric MedicinePractitioner - Pain Management 9830085232 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Point Medical Associates Inc CurrentSince Jul 8, 2019 Accepting new patients
Dade Treatment Center Specialist Past Accepting new patients
Adcare Medical Center Past Accepting new patients
Radiology Associates of South Florida LLC Past Accepting new patients
Gomez Medical Center, Inc. Specialist Past Accepting new patients
B&C Family Health Group and Associates,LLC Past Accepting new patients
Continental Health Network, Inc. Specialist Past Accepting new patients
Primary Medical Care Inc Past Accepting new patients

Locations

3820 Tampa Rd
Ste 202
Palm Harbor, FL 34684
Phone (727) 785-4540

9550 US Highway 19
Ste 20
Port Richey, FL 34668
Phone (727) 310-0188

Organizations & group practices 11

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1598744914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 NW 114TH AVE",
            "address_2": "APT 204",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331785588",
            "telephone_number": "305-826-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 NW 155TH ST STE 201",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165883",
            "telephone_number": "305-826-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URDANETA",
        "first_name": "MAYRE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME73691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.