Delores Macksoud, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME0051716 Issued in FL

Practice address

12001 SW 128TH CT Ste 205
Miami, FL 33186-4666

Phone

(305) 251-1373

Fax

(305) 252-6790

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Borinquen Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1407913338
  Medicare reassignment NPD
• Borinquen Health Care Center, Inc.

  • Community Health Clinic/Center
  • Miami, FL
  • NPI 1245643709
  NPD
• Borinquen Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1801210299
  NPD (past)
• Genoma Medical Group, Corp

  • Primary Care Clinic/Center
  • Miami, FL
  • NPI 1316519358
  NPD (past)
• Yema Home Health Care, Inc

  • Home Health Agency
  • Miami, FL
  • NPI 1528144862
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1962594580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 SW 128TH CT STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864666",
            "telephone_number": "305-251-1373",
            "fax_number": "305-252-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 SW 128TH CT STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864666",
            "telephone_number": "305-251-1373",
            "fax_number": "305-252-6790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331373795",
            "country_code": "US",
            "telephone_number": "305-576-6611",
            "fax_number": "786-476-2815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKSOUD",
        "first_name": "DELORES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME0051716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049326100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alejandro Maciques Nieto
• Karen Elizabeth Mack
• Shannon Mack, ARNP
• Stacey Mackenzie
• Robert L Mackey, PA-C
• Diasha Jasmine Macky
• Erin Maclin, PHARMD
• Courtney A Macmahon
• Thomas Fergus Macmahon, M.D.
• Elena Sanchez Macnamara, M.S.

• Neurology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.