Active NPI
Marieli Milagros Mayoral, M.D.
- General Practice Physician
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN1034
- Practice address
- 7700 S Dixie Hwy
West Palm Beach, FL 33405-4818 - Phone
- (561) 720-2942
- NPI assigned
- Dec 22, 2014
- Last updated
- Apr 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 18886 | PR | |
| General Practice Physician | 208D00000X | ACN1034 | FL | Primary |
Addresses
Primary practice location
7700 S Dixie Hwy
West Palm Beach, FL 33405-4818
Mailing address
1732 S Congress Ave Ste 346
Palm Springs, FL 33461-2140
Phone (561) 353-1225
Other practice location 1
1670 S Congress Ave
Palm Springs, FL 33461-2142
Phone (561) 432-0283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ACN1034 | Other | FL | STATE OF FLORIDA |
Other names 1
- Dr. Marieli Milagros Mayoral-Hernandez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- University Central del Caribe Escuela de Medicina, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2911 N Military TRL D
PCC of West Palm
West Palm Beach, FL 33409-2922
Phone (561) 478-8825
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PCC Medical Holdings LLC | Current | Accepting new patients | |
| El Medico Visitante...,P.S.C. | Current | Accepting new patients | |
| Athens Family Medicine LLC | Past | Accepting new patients | |
| Lahens Medical Center, Inc. | General Practice | Past | Accepting new patients |
| Orlando Family Physicians, LLC | General Practice | Past | Accepting new patients |
Locations
3918 Via Poinciana
Ste 5
Lake Worth, FL 33467
Phone (561) 432-4577
1140 S Semoran Blvd
Ste E
Orlando, FL 32807
Phone (407) 384-9165
1670 S Congress Ave
Palm Springs, FL 33461
Phone (561) 432-0283
1732 S Congress Ave
Palm Springs, FL 33461
Phone (561) 385-0731
2070 S Military Trl
West Palm Beach, FL 33415
Phone (561) 968-8462
2911 N Military Trl
Ste D
West Palm Beach, FL 33409
Phone (561) 478-8825
7700 S Dixie Hwy
West Palm Beach, FL 33405
Phone (561) 619-2843
Interoperability endpoints
- marieli.mayoral.1@32578.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Lake Worth, FL
- NPI 1174167993
-
- Health Maintenance Organization
- San Juan, PR
- NPI 1992855746
-
- General Practice Physician
- Palmetto Bay, FL
- NPI 1588844047
-
- General Practice Physician
- Orlando, FL
- NPI 1912579673
-
- Family Medicine Physician
- Athens, GA
- NPI 1427418391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1679971881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1732 S CONGRESS AVE STE 346",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334612140",
"telephone_number": "561-353-1225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 S DIXIE HWY",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334054818",
"telephone_number": "561-720-2942"
}
],
"practiceLocations": [
{
"address_1": "1670 S Congress Ave",
"address_purpose": "LOCATION",
"city": "Palm Springs",
"state": "FL",
"postal_code": "334612142",
"country_code": "US",
"telephone_number": "561-432-0283",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAYORAL",
"first_name": "MARIELI",
"middle_name": "MILAGROS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-22",
"last_updated": "2024-04-02",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "18886",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN1034",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FLORIDA",
"identifier": "ACN1034",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIELI",
"last_name": "MAYORAL-HERNANDEZ",
"middle_name": "MILAGROS",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.