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Dr. Mayralis Enamorado , MD

General Practice β€’ St Augustine, FL

Active NPI 1457107484 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

2460 Old Moultrie Rd
St Augustine, FL 320864197

Call 9392694497 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2460 Old Moultrie Rd

St Augustine, FL 320864197

Telephone 9392694497
Organization at the Same NPPES Address or Phone
Lymphatic Wellness Center, Llc Facility NPI 1386686186

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Island Doctors Intrastate Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2011

30-day fills

199 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,209 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

15 years (graduated 2011)

CMS Doctors and Clinicians data list 2011 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Enamorado has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Enamorado as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in St Augustine and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 80% of clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: 2,849. Middle half: 518 to 6,924.

Too few clinicians listed under General Practice in St Augustine have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 85% of clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: $166,180. Middle half: $16,824 to $452,832.

Too few clinicians listed under General Practice in St Augustine have Medicare Part D data for 2024 to compare.

8 active clinicians are listed under General Practice with a practice address in St Augustine, FL (2,293 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Baclofen Baclofen 55 277 $432.61 55
Cephalexin Cephalexin 32 203 $258.35 32
Famotidine Famotidine 23 115 $77.11 21
Paxlovid Nirmatrelvir/Ritonavir 23 115 $0.00 23
Azithromycin Azithromycin 18 88 $123.07 18
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 17 126 $86.11 17
Ondansetron Hcl Ondansetron Hcl 17 130 $145.58 17
Ciprofloxacin Hcl Ciprofloxacin Hcl 14 68 $86.28 14

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-25
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES FL ACN1730

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES PR 23776

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL PRACTICE

Medicare Enrollment ID

I20250807002534

Enrollment State Jurisdiction

FL

PECOS Control ID

8527501600

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Island Doctors Intrastate Llc

2460 Old Moultrie Rd, St Augustine, FL 320864198

Phone: 9047975740

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1508830480

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Business Mailing Address February 25, 2026

Registered at 2460 OLD MOULTRIE RD STE 1, ST AUGUSTINE, FL 320864198

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2026

General Practice (license number reported to NPPES: FL ACN1730)

πŸ“
Updated Practice Location October 27, 2025

Registered at 2460 OLD MOULTRIE RD, ST AUGUSTINE, FL 320864197 (Tel: 9392694497)

βœ…
NPI Profile Active May 03, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 03, 2024

Registered at PO BOX 370884, CAYEY, CAYEY, PR 007370884 (Tel: 9392694497)

πŸ“
Business Mailing Address (Initial Record) May 03, 2024

Registered at PO BOX 370884, CAYEY, CAYEY, PR 007370884 (Tel: 9392694497)

πŸ‘€
Provider Name / Credentials (Initial Record) May 03, 2024

Recorded as MAYRALIS ENAMORADO, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2024

General Practice (license number reported to NPPES: PR 23776)

🟒
Initial NPI Registration & Enumeration April 29, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1457107484
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2024
Last Update: February 25, 2026
Sole Proprietor: Yes

Other General Practices in St Augustine

Healthcare providers in St Augustine

Mailing Address

2460 Old Moultrie Rd Ste 1

St Augustine, FL 320864198

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.