Individual ProviderMayelin CanizaresNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address7000 SW 62nd Ave Ste 100, South Miami, FL 33143(305) 979-1892PECOS EnrollmentBased on the most recent information from CMS, provider Mayelin Canizares is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1083090286Provider TypeIndividualFull NameCanizares, MayelinCredentialNP-CGenderFemaleSole ProprietorNoEnumeration Date8/11/2015Last Updated12/27/2024Contact InformationPractice LocationPractice Address7000 SW 62nd Ave Ste 100, South Miami, FL 33143Phone(305) 979-1892FaxUnlisted FaxMailing LocationMailing Address5852 SW 33rd St, Miami, FL 33155-4904Phone(305) 979-1892FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN9306140FloridaCode363LP0808XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN9306140Florida