Individual provider Active NPI

Mayda Bonilla-Oats, MSN, ARNP, FNP-C

  • Family Nurse Practitioner
  • Miami Beach, FL
National Provider Identifier
1740002088
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11036223 Issued in FL
Practice address
1130 Washington Ave
Pridelines 1St Floor
Miami Beach, FL 33139-4600
Phone
(305) 571-9601
NPI assigned
Oct 28, 2024
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11036223 FL Primary

Addresses

Primary practice location

1130 Washington Ave
Pridelines 1St Floor
Miami Beach, FL 33139-4600

Mailing address

1130 Washington Ave
Pridelines 1St Floor
Miami Beach, FL 33139
Phone (305) 571-9601

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260127000058 FL Practitioner - Nurse Practitioner 5597242198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Care Medical Group LLCGroup PAC ID 5092903294, 6 clinicians

Practice addresses (Care Compare)

1 NE 167TH St
North Miami Beach, FL 33162-3402
Phone (305) 432-9565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11036223FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Care Medical Group LLC CurrentSince Jan 26, 2026 Accepting new patients
Pridelines Youth Services, Inc. CurrentSince Jan 26, 2025 Accepting new patients

Locations

5525 NW 7th Ave
Miami, FL 33127
Phone (305) 571-9601

1130 Washington Ave
Fl 1
Miami Beach, FL 33139
Phone (305) 571-9601

1 NE 167th St
North Miami Beach, FL 33162
Phone (305) 432-9565

Interoperability endpoints

  • Direct secure messaging: bonilla-oats.mayda.1@31943.direct.athenahealth.com

Organizations & group practices 2

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": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1740002088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 WASHINGTON AVE",
            "address_2": "PRIDELINES 1ST FLOOR",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33139",
            "telephone_number": "305-571-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 WASHINGTON AVE",
            "address_2": "PRIDELINES 1ST FLOOR",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331394600",
            "telephone_number": "305-571-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA-OATS",
        "first_name": "MAYDA",
        "name_prefix": "Mrs.",
        "credential": "MSN, ARNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11036223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.