MARIA ISABEL PRIETO M.D.
NPI 1508882283
Internal Medicine in Miami, FL

Q: What is Maria Prieto's NPI number?

The NPI number for Maria Prieto is 1508882283. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Q: What is Maria Prieto's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Maria Prieto was last updated on January 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment

11760 SW 40TH ST, SUITE 347, MIAMI, FL 33175(305) 553-1663(305) 553-1786 Get Directions Write a Review

NPPES record last updated: January 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Maria Isabel Prieto M.d. NPPES

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

MARIA ISABEL PRIETO M.D. (NPI 1508882283) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME 0075082) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1508882283

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMARIA ISABEL PRIETOCredential: M.D.

Location Address11760 SW 40TH ST, SUITE 347Miami, FL 33175-3582

Mailing Address11760 Sw 40th St, Suite 347Miami, FL 33175-3582 · (305) 553-1663 · Fax (305) 553-1786

Phone(305) 553-1663

Fax(305) 553-1786

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateJuly 14, 2006

Last NPPES UpdateJanuary 30, 2013

✔ NPI 1508882283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME 0075082

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

11760 SW 40TH ST, Miami, FL 33175

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Other Identifiers 2

Medicare ID-Type UnspecifiedE3144ZFL

Medicaid255855600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.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

Maria Isabel Prieto M.d. 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 ID6901909670

PECOS Enrollment IDI20070319000078

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

39 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33175 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%23 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

1 supplier12 claims12 services$5.47 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

DR. ASCENSION M TORRES M.D.

Surgery (Pediatric Surgery)

11760 SW 40TH ST, SUITE 722
MIAMI, FL 33175

Miami-Dade County (305) 559-1883

ROLANDO E LACAYO MD PA

Specialist

11760 SW 40TH ST, SUITE 311
MIAMI, FL 33175

Miami-Dade County (305) 553-1253

JULIO HENRY ACOSTA AGACNP

Nurse Practitioner (Acute Care)

11760 SW 40TH ST
MIAMI, FL 33175

Miami-Dade County (786) 863-0547

DR. FRANK DEPENA MD

Internal Medicine

11760 SW 40TH ST, SUITE 701
MIAMI, FL 33175

Miami-Dade County (305) 227-9339

TOMAS I MARIMON M.D.

Specialist

11760 SW 40TH ST, SUITE #518
MIAMI, FL 33175

Miami-Dade County (305) 553-2888

LORENZO J. NEGRET M.D. P.A.

Family Medicine

11760 SW 40TH ST, SUITE 433
MIAMI, FL 33175

Miami-Dade County (305) 223-9815

DR. LORENZO JOSE NEGRET M.D.

Family Medicine

11760 SW 40TH ST, STE 433
MIAMI, FL 33175

Miami-Dade County (305) 223-9815

JACK MAREK KLEM, MD PA

Neurological Surgery

11760 SW 40TH ST
MIAMI, FL 33175

Miami-Dade County (305) 223-3000

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 Maria Prieto's NPI number?

The NPI number for Maria Prieto is 1508882283. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Maria Prieto located?

Maria Prieto practices at 11760 SW 40th St Suite 347, Miami, FL 33175. The listed phone number is (305) 553-1663.

What is Maria Prieto's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Maria Prieto enrolled in Medicare?

Yes. Maria Prieto 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 Maria Prieto accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Maria Prieto 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.

When was this NPI record last updated?

The NPPES record for Maria Prieto was last updated on January 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.