Individual provider Active NPI

Maria Margarita Peralta, M.D.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1962466581
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME69563 Issued in FL
Practice address
8900 SW 117TH Ave
Suite B202
Miami, FL 33186-2175
Phone
(786) 466-8468
NPI assigned
Apr 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME69563 FL Primary

Addresses

Primary practice location

8900 SW 117TH Ave
Suite B202
Miami, FL 33186-2175

Mailing address

1500 NW 12TH Ave Ste 810
Miami, FL 33136-1037
Phone (305) 585-6649

Other identifiers 1

IdentifierTypeStateIssuer
252511900MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051021000109 FL Practitioner - Family PracticePractitioner - General Practice 2264458991 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME69563FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Trust of Dade County Florida CurrentSince May 31, 2025 Accepting new patients
Urgent Care Physicians of Palmetto Bay LLC PastSince Mar 26, 2023 Accepting new patients
Urgent Care Physicians of Tamiami LLC PastSince Mar 26, 2023 Accepting new patients
Urgent Care Physicians of West Kendall LLC PastSince Mar 26, 2023 Accepting new patients
Public Health Trust of Miami Dade County Florida Past Accepting new patients
Urgent Care Physicians of Country Walk LLC PastSince Mar 26, 2023 Accepting new patients
Public Health Trust of Miami Dade County Florida Past Accepting new patients
Urgent Care Physicians of Westchester LLC PastSince Mar 26, 2023 Accepting new patients
Public Health Trust of Miami Dade County Florida Past Accepting new patients

Locations

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

9333 SW 152nd St
Palmetto Bay, FL 33157
Phone (305) 251-2500

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1962466581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NW 12TH AVE STE 810",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361037",
            "telephone_number": "305-585-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 SW 117TH AVE",
            "address_2": "SUITE B202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862175",
            "telephone_number": "786-466-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA",
        "first_name": "MARIA",
        "middle_name": "MARGARITA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME69563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252511900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.