Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mayralis Enamorado, MD

Individual provider General Practice Physician · NPI 1457107484

Mayralis Enamorado, MD is a General Practice in St Augustine, Florida. Qualified in 2011, 15 years ago. Practices with Island Doctors Intrastate LLC, a 76-clinician group and accepts Medicare assignment. Licensed in Florida and Puerto Rico.

Years since qualifying
15
Licensed in
FL, PR
In the registry since
2024
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2460 Old Moultrie Rd
St Augustine, FL 32086-4197
Phone: (939) 269-4497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ACN1730 (FL)
General Practice Physician Taxonomy 208D00000X · Licence 23776 (PR)

Record details

NPI number1457107484
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 29, 2024
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Island Doctors Intrastate Llc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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