Individual provider Active NPI

Marieli Milagros Mayoral, M.D.

  • General Practice Physician
  • West Palm Beach, FL
National Provider Identifier
1679971881
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1034 Issued in FL
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ACN1034OtherFLSTATE OF FLORIDA

Other names 1

  • Dr. Marieli Milagros Mayoral-Hernandez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160127001861 PR Practitioner - General Practice 0143523050 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR
I20180507001509 FL Practitioner - General Practice 0143523050 Reassigns benefits to 1 organization

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
PCC Medical Holdings LLCGroup PAC ID 0446679468, 27 clinicians

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

OrganizationSpecialtyStatusNew patients
PCC Medical Holdings LLC CurrentSince Mar 4, 2024 Accepting new patients
El Medico Visitante...,P.S.C. CurrentSince Jun 1, 2016 Accepting new patients
Athens Family Medicine LLC Past Accepting new patients
Lahens Medical Center, Inc. General Practice PastSince Jun 5, 2011 Accepting new patients
Orlando Family Physicians, LLC General Practice PastSince Jan 5, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.