Active NPI
Miriam Mercedes Maldonado, LM
- Midwife
- Doral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW165
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014406800 | Medicaid | FL | |
| 340536200 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MW165 | FL | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Florida Midwifery Services, LLC | Current | Accepting new patients | |
| Birth Your Way, LLC | Midwife | Past | 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.
-
- Midwife
- Doral, FL
- NPI 1861984379
-
- Midwife
- Miami, FL
- NPI 1871984229
-
- Health Service Clinic/Center
- Doral, FL
- NPI 1942967278
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.