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

Mayrene Alfonso Perez, MD

Individual provider General Practice Physician · NPI 1124642012

Mayrene Alfonso Perez, MD is a General Practice in Tampa, Florida. Qualified in 1997, 29 years ago. Practices with My Doctor Medical Group Corp, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
29
Licensed in
FL
In the registry since
2020
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

6822 W Waters Ave
Tampa, FL 33634-2212
Phone: (813) 280-4909
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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 ACN1299 (FL)

Record details

NPI number1124642012
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 5, 2020
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024
Mailing address6822 W Waters Ave, Tampa, FL 33634-2212

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice My Doctor Medical Group Corp — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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