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MRS. MILDRED TAVERAS PA
NPI 1689978843
Physician Assistant in Pembroke Pines, FL

Active since January 03, 2011PECOS Enrolled
12177 PEMBROKE RD, PEMBROKE PINES, FL 33025(954) 436-0555(954) 436-0108 Get Directions Write a Review

NPPES record last updated: September 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Mildred Taveras Pa NPPES

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

MRS. MILDRED TAVERAS PA (NPI 1689978843) is an individual physician assistant in Pembroke Pines, Florida, licensed in Florida (PA9102769) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689978843
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MILDRED TAVERASCredential: PA
Location Address12177 PEMBROKE RDPembroke Pines, FL 33025-1727
Mailing Address12177 Pembroke RdPembroke Pines, FL 33025-1727 · (954) 436-0555 · Fax (954) 433-0108
Phone(954) 436-0555
Fax(954) 436-0108
Sole ProprietorNo
Enumeration DateJanuary 3, 2011
Last NPPES UpdateSeptember 17, 2013
✔ NPI 1689978843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9102769
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
12177 PEMBROKE RD, Pembroke Pines, FL 33025
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mildred Taveras Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33025 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

METCARE OF FLORIDA INC.
Internal Medicine
12177 PEMBROKE RD
PEMBROKE PINES, FL 33025
Broward County (654) 436-0555
MARINA MOLITOR PA-C
Physician Assistant (Medical)
12177 PEMBROKE RD
PEMBROKE PINES, FL 33025
Broward County (954) 436-0555
EMILIO EDGARDO CASTANEDA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
12177 PEMBROKE RD
PEMBROKE PINES, FL 33025
Broward County (954) 436-0555
CARY M ZINKIN DPM, PA
Podiatrist
12177 PEMBROKE RD
PEMBROKE PINES, FL 33025
Broward County (954) 436-0555
DAYANA RODRIGUEZ MARTINEZ APRN
Nurse Practitioner (Gerontology)
12177 PEMBROKE RD
PEMBROKE PINES, FL 33025
Broward County (786) 443-0138
AMICUS MEDICAL CENTER LLC
Clinic/Center (Primary Care)
12177 PEMBROKE RD
PEMBROKE PINES, FL 33025
Broward County (954) 436-0555
MR. HUGO PEREZ LARA PA
Physician Assistant (Medical)
12177 PEMBROKE RD
PEMBROKE PINES, FL 33025
Broward County (954) 436-0555
CONVIVA MEDICAL CENTER MANAGEMENT LLC
Family Medicine
12177 PEMBROKE RD
PEMBROKE PINES, FL 33025
Broward County (954) 436-0555

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 Mildred Taveras's NPI number?

The NPI number for Mildred Taveras is 1689978843. It was assigned to this individual provider in the NPPES registry on January 3, 2011.

Where is Mildred Taveras located?

Mildred Taveras practices at 12177 Pembroke Rd, Pembroke Pines, FL 33025. The listed phone number is (954) 436-0555.

What is Mildred Taveras's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mildred Taveras enrolled in Medicare?

Yes. Mildred Taveras is registered in the Medicare PECOS enrollment system.

What insurance does Mildred Taveras accept?

Health plans from AvMed list Mildred Taveras 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 Mildred Taveras was last updated on September 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.