Individual provider Active NPI

Maylin Perez Roman, FNP-C

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1992578041
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11028574 Issued in FL
Practice address
1635 W 42ND St
Hialeah, FL 33012-5831
Phone
(786) 574-0532
NPI assigned
Oct 31, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11028574 FL Primary

Addresses

Primary practice location

1635 W 42ND St
Hialeah, FL 33012-5831

Mailing address

1635 W 42ND St
Hialeah, FL 33012-5831
Phone (786) 574-0532

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250228001518 FL Practitioner - Nurse Practitioner 5092235465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

13755 Golf Club Pkwy
Fort Myers, FL 33919-5146
Phone (239) 482-2848

1550 Lee Blvd
Lehigh Acres, FL 33936-4835
Phone (239) 369-2194

1626 Davis Rd
West Palm Beach, FL 33406-5640
Phone (561) 439-8897

18480 Cochran Blvd
Port Charlotte, FL 33948-3379
Phone (941) 743-4700

1851 Elkcam Blvd
Deltona, FL 32725-3922
Phone (386) 789-3769

1859 Van Buren St
Hollywood, FL 33020-5127
Phone (954) 920-9000

2370 Harbor Blvd
Port Charlotte, FL 33952-5024
Phone (941) 624-5966

3001 S Congress Ave
Boynton Beach, FL 33426-9012
Phone (561) 737-5600

375 NW 51 St
Boca Raton, FL 33431-4773
Phone (561) 997-8111

390 NE 135TH St
North Miami, FL 33161-3967
Phone (305) 895-4804

4033 Beaver LN
Port Charlotte, FL 33952-9206
Phone (941) 625-3200

5245 N Socrum Loop Rd
Lakeland, FL 33809-4253
Phone (863) 859-1446

701 Victoria St
Brandon, FL 33510-4100
Phone (813) 681-4220

7225 Boca del Mar Dr
Boca Raton, FL 33433-5517
Phone (561) 362-9644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11028574FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Care Experts Health Network LLC CurrentSince Dec 16, 2024 Accepting new patients
Intensive Care Experts Health Network LLC CurrentSince Dec 16, 2024 Accepting new patients

Locations

701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195

1859 Van Buren St
Hollywood, FL 33020
Phone (954) 920-0900

Interoperability endpoints

  • Direct secure messaging: maylin.perez-roman.1@23939.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": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1992578041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 W 42ND ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125831",
            "telephone_number": "786-574-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 W 42ND ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125831",
            "telephone_number": "786-574-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ ROMAN",
        "first_name": "MAYLIN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11028574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.