Individual provider Active NPI

Mayra Capote, MD

  • Pediatrics Physician
  • Miami Lakes, FL
National Provider Identifier
1972573319
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME68714 Issued in FL
Practice address
14400 NW 77TH CT Ste 102
Miami Lakes, FL 33016-1590
Phone
(305) 823-7768
Fax
(305) 823-2211
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME68714 FL Primary

Addresses

Primary practice location

14400 NW 77TH CT Ste 102
Miami Lakes, FL 33016-1590

Mailing address

14400 NW 77TH CT Ste 102
Miami Lakes, FL 33016-1590
Phone (305) 823-7768

Other practice location 1

1199 W Flagler St Ste 10
Miami, FL 33130-1055
Phone (305) 326-8887

Other identifiers 3

IdentifierTypeStateIssuer
378379100MedicaidFL
1972573319OtherNPI
1861059248OtherORGANIZATIONAL NPI

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME68714FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Lakes Pediatrics PLLC Pediatrics PastSince Jan 17, 2021 Accepting new patients
Miami Lakes Pediatrics PLLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19861/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mayra.capote.1@19861.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1972573319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 NW 77TH CT STE 102",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161590",
            "telephone_number": "305-823-7768",
            "fax_number": "305-823-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 NW 77TH CT STE 102",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161590",
            "telephone_number": "305-823-7768",
            "fax_number": "305-823-2211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1199 W Flagler St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331301055",
            "country_code": "US",
            "telephone_number": "305-326-8887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPOTE",
        "first_name": "MAYRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME68714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378379100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972573319",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATIONAL NPI",
            "identifier": "1861059248",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; 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.