Active NPI
Damaris Mafut, D.O.
- Pediatrics Physician
- Miami, FL
National Provider Identifier
1699976357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS10933
- Practice address
- 9020 SW 137TH Ave Ste 200
Miami, FL 33186-1430 - Phone
- (305) 777-3505
- Fax
- (786) 866-2599
- NPI assigned
- May 30, 2007
- Last updated
- Dec 28, 2017
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | N6468 | TX | |
| Pediatrics Physician | 208000000X | OS10933 | FL | Primary |
Addresses
Primary practice location
9020 SW 137TH Ave Ste 200
Miami, FL 33186-1430
Mailing address
9020 SW 137TH Ave Ste 200
Miami, FL 33186-1430
Phone (305) 777-3505
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS10933 | FL | MD | Pediatrics Physician |
| N6468 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fit Life Pediatric Consultants, LLC | Pediatrics | Current | Accepting new patients |
Locations
9020 SW 137th Ave
Ste 200
Miami, FL 33186
Phone (305) 671-3503
Interoperability endpoints
- mafutd@rpp-fl.direct.office.nextgen.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.
-
- Pediatrics Physician
- Miami, FL
- NPI 1326587601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514419200000",
"number": "1699976357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9020 SW 137TH AVE STE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331861430",
"telephone_number": "305-777-3505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9020 SW 137TH AVE STE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331861430",
"telephone_number": "305-777-3505",
"fax_number": "786-866-2599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAFUT",
"first_name": "DAMARIS",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2017-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "N6468",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "OS10933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.