Individual provider Active NPI

Mayra L Zeno, MD

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1902827405
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME62905 Issued in FL
Practice address
6917 NW 77TH Ave
Miami, FL 33166-2835
Phone
(786) 413-5016
NPI assigned
Jul 21, 2006
Last updated
Jan 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME62905 FL Primary

Addresses

Primary practice location

6917 NW 77TH Ave
Miami, FL 33166-2835

Mailing address

6917 NW 77TH Ave
Miami, FL 33166-2835
Phone (786) 413-5016

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New Generation Medical Center Inc General Practice CurrentSince Apr 30, 2003 Accepting new patients
Dharma Medical Center Past Accepting new patients
Sorisa Medical Center Inc Past Accepting new patients

Locations

515 SW 12th Ave
Ste 517
Miami, FL 33130
Phone (305) 324-0101

Organizations & group practices 4

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1902827405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6917 NW 77TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331662835",
            "telephone_number": "786-413-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6917 NW 77TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331662835",
            "telephone_number": "786-413-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENO",
        "first_name": "MAYRA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME62905",
            "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 Jan 22, 2013; 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.