Mariam Beatriz Borges, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9117053 Issued in FL

Practice address

7800 SW 57TH Ave Ste 110
South Miami, FL 33143-5543

Phone

(305) 740-6181

Fax

(305) 667-4656

NPI assigned

Feb 3, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Group of Florida, P.a.Group PAC ID 1153367107, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: mborges@scsm.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dermatology Group of Florida, P.a.

  • Dermatology Physician
  • South Miami, FL
  • NPI 1497806459
  Medicare reassignment Care Compare group
• Children'S Skin Center PA

  • Pediatric Dermatology Physician
  • Miami, FL
  • NPI 1942238258
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1740986504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 HOLLYWOOD BLVD STE 215S",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211227",
            "telephone_number": "954-807-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SW 57TH AVE STE 110",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435543",
            "telephone_number": "305-740-6181",
            "fax_number": "305-667-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGES",
        "first_name": "MARIAM",
        "middle_name": "BEATRIZ",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Line Counseling
• Lori Plotkin Blum, PH.D.
• Chase Boehmer, DO
• Anna Leonidovna Bogdanova, PA
• Jacob Bogost
• Osbel Borges, DMD
• Borinquen Health Care Center, Inc.
• Marli Boswell
• Anabel Lane Botwinick, MD
• Mouriel Deyanira Boucher, DO

• Physician Assistant in South Miami, FL
• Providers in South Miami, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.