Individual provider Active NPI

Miriam Mercedes Maldonado, LM

  • Midwife
  • Doral, FL
National Provider Identifier
1700851458
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW165 Issued in FL
Practice address
10540 NW 26TH Street
BLDG G Unit 108
Doral, FL 33172-2104
Phone
(786) 607-2229
Fax
(813) 365-3074
NPI assigned
Feb 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X
Midwife 176B00000X MW165 FL Primary

Addresses

Primary practice location

10540 NW 26TH Street
BLDG G Unit 108
Doral, FL 33172-2104

Mailing address

PO Box 557203
Miami, FL 33255-7203
Phone (786) 234-9056

Other practice location 1

17304 Walker Ave Ste 116
Miami, FL 33157-4399
Phone (786) 607-2229

Other identifiers 2

IdentifierTypeStateIssuer
014406800MedicaidFL
340536200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MW165FLMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Midwifery Services, LLC CurrentSince May 1, 2022 Accepting new patients
Birth Your Way, LLC Midwife PastSince Feb 8, 2023 Accepting new patients
Childbirth Options-Miami Midwife Past Accepting new patients

Locations

10540 NW 26th St
Ste G108
Doral, FL 33172
Phone (786) 340-5895

10570 NW 27th St
Ste H102B
Doral, FL 33172
Phone (786) 234-9056

Organizations & group practices 3

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1700851458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 557203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332557203",
            "telephone_number": "786-234-9056",
            "fax_number": "813-365-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10540 NW 26TH STREET",
            "address_2": "BLDG G UNIT 108",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722104",
            "telephone_number": "786-607-2229",
            "fax_number": "813-365-3074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17304 Walker Ave Ste 116",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331574399",
            "country_code": "US",
            "telephone_number": "786-607-2229",
            "fax_number": "813-365-3074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "MIRIAM",
        "middle_name": "MERCEDES",
        "credential": "LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014406800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340536200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.