GUILLERMO MAZA MALAVE (MD) – Otolaryngology Physician, NPI 1467947366

GUILLERMO MAZA MALAVE (MD) is a healthcare provider. based in Miami lakes, Florida. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 328812 (NY). The NPI Number for GUILLERMO MAZA MALAVE (MD) is 1467947366

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
GUILLERMO MAZA MALAVE (MD)
NPI
1467947366
Phone
(305) 558-3724
Address
15280 NW 79TH CT STE 200
Enumeration Date
25 June 2018
Last Update Date
22 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7865074151
Graduation Year
2009 (17 years ago)
PAC ID
8820323066
Group Practice PAC ID
4587556923
Professional Enrollment ID
I20250506002474
Address ID
FL331812883NO1801XSTXX424
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:7State licenses:3Digital endpointsOther names

732 OTOLARYNGOLOGY in FL

Provider Addresses for GUILLERMO MAZA MALAVE (MD)

  • 15280 NW 79TH CT STE 200

    MIAMI LAKES, FL 330165873

    Phone: (305) 558-3724

    Type: Mailing

  • 1801 NE 123RD ST STE 315

    NORTH MIAMI, FL 331812883

    Phone: (786) 507-4151

    Fax: (786) 507-4148

    Type: Location

  • ONE BROOKDALE PLAZA, BROOKLYN

    NEW YORK, NY 11212

    Phone: (718) 240-6738

    Type: Mailing

  • 21097 NE 27th Ct Ste 410

    Aventura, FL 331801249

    Phone: (305) 932-6375

    Fax: (305) 932-9002

    Type: Location

  • 1330 Coral Way Ste 403

    Miami, FL 331452945

    Phone: (305) 325-0090

    Fax: (305) 325-0082

    Type: Location

  • 747 Ponce De Leon Blvd Ste 305

    Coral Gables, FL 331342073

    Phone: (304) 444-4903

    Fax: (305) 444-4913

    Type: Location

  • 720, Bond Street, Springfield, Sangamon County, Illinois, 62702, United States

    SPRINGFIELD, IL 627024952

    Phone: (217) 545-4777

    Fax: (217) 545-0836

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $137.

Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.

Last reported payment date: 2024-09-27 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($137).

Total Amount

$137

General + Research + Ownership

Payments

2

Total payment records

General Amount

$137

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$137
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240605001982IOtolaryngologyNYTBD
I20250506002474IOtolaryngologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33016)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587556923View full group profile
NameSpecialtyState
-FL
O T O L A R Y N G O L O G YFL
O T O L A R Y N G O L O G YFL
Qualified AudiologistFL
O T O L A R Y N G O L O G YFL
Qualified AudiologistFL
O T O L A R Y N G O L O G YFL
Qualified AudiologistFL
Qualified AudiologistFL
O T O L A R Y N G O L O G YFL

Reviews

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Frequently asked questions

Can I cross-check GUILLERMO MAZA MALAVE (MD) using NPI 1467947366?
NPI 1467947366 belongs to GUILLERMO MAZA MALAVE (MD); compare other details if you need extra assurance.
Is GUILLERMO MAZA MALAVE (MD) still an active registrant?
GUILLERMO MAZA MALAVE (MD) carries an active NPI according to the public dataset.
How would a patient describe GUILLERMO MAZA MALAVE (MD)'s focus?
For GUILLERMO MAZA MALAVE (MD), the primary taxonomy reads as Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is GUILLERMO MAZA MALAVE (MD) registered?
Use Miami Lakes, Florida as the headline location for GUILLERMO MAZA MALAVE (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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