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MAYRALIS ENAMORADO MD
NPI 1457107484
General Practice in St Augustine, FL

Active since April 29, 2024PECOS EnrolledAccepts Medicare Assignment
2460 OLD MOULTRIE RD, ST AUGUSTINE, FL 32086(939) 269-4497 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mayralis Enamorado Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYRALIS ENAMORADO MD (NPI 1457107484) is an individual general practice provider in St Augustine, Florida, licensed in Florida (ACN1730) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with Flagler Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1457107484
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMAYRALIS ENAMORADOCredential: MD
Location Address2460 OLD MOULTRIE RDSt Augustine, FL 32086-4197
Mailing Address2460 Old Moultrie Rd Ste 1St Augustine, FL 32086-4198
Phone(939) 269-4497
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateApril 29, 2024
Last NPPES UpdateFebruary 25, 2026
NPPES CertifiedFebruary 25, 2026
✔ NPI 1457107484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in FL · ACN1730✔ Licensed in PR · 23776
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

2460 OLD MOULTRIE RD, St Augustine, FL 32086
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mayralis Enamorado Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527501600
PECOS Enrollment IDI20250807002534
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYMPHATIC WELLNESS CENTER, LLC
Occupational Therapist
2460 OLD MOULTRIE RD, SUITE 4
ST AUGUSTINE, FL 32086
St. Johns County (904) 797-8787
ATLANTIC UROLOGICAL ASSOCIATES P A
Urology
2460 OLD MOULTRIE RD, SUITE 5
ST AUGUSTINE, FL 32086
St. Johns County (904) 794-7870
LINA L FEASTER PA
Clinic/Center (Primary Care)
2460 OLD MOULTRIE RD, SUITE 1
ST AUGUSTINE, FL 32086
St. Johns County (904) 794-2424
DR. GEORGE EDWARD SADOWSKI M.D.
Surgery
2460 OLD MOULTRIE RD
ST AUGUSTINE, FL 32086
St. Johns County (904) 797-6627

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mayralis Enamorado's NPI number?

The NPI number for Mayralis Enamorado is 1457107484. It was assigned to this individual provider in the NPPES registry on April 29, 2024.

Where is Mayralis Enamorado located?

Mayralis Enamorado practices at 2460 Old Moultrie Rd, St Augustine, FL 32086. The listed phone number is (939) 269-4497.

What is Mayralis Enamorado's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mayralis Enamorado enrolled in Medicare?

Yes. Mayralis Enamorado is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mayralis Enamorado accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Mayralis Enamorado as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mayralis Enamorado affiliated with any hospitals?

According to CMS data, Mayralis Enamorado is affiliated with Flagler Hospital.

When was this NPI record last updated?

The NPPES record for Mayralis Enamorado was last updated on February 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.