Individual provider Active NPI

Nayvis Iglesias, MD

  • Family Medicine Physician
  • Doral, FL
National Provider Identifier
1003002817
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 102265 Issued in FL
Practice address
3650 NW 82ND Ave
Suite 502
Doral, FL 33166-6658
Phone
(305) 594-9333
Fax
(305) 594-0440
NPI assigned
Sep 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 102265 FL Primary

Addresses

Primary practice location

3650 NW 82ND Ave
Suite 502
Doral, FL 33166-6658

Mailing address

3650 NW 82ND Ave
Suite 502
Doral, FL 33166-6658
Phone (305) 594-9333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081020000053 FL Practitioner - Family Practice 4688732738 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10450 NW 33Rd St
Unit 205
Doral, FL 33172-1005
Phone (786) 206-3155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 102265FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services, LLC CurrentSince Aug 1, 2008 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Aug 1, 2008 Accepting new patients
Nextlevel Complete Family Care Inc Family Medicine CurrentSince May 18, 2023 Accepting new patients
Healthmed Clinical Center Inc CurrentSince Feb 19, 2025 Accepting new patients
Ronoel Penalver Mdpa PastSince May 18, 2023 Accepting new patients

Locations

3971 SW 8th St
Ste 209
Coral Gables, FL 33134
Phone (305) 249-1183

3650 NW 82nd Ave
Ste 502
Doral, FL 33166
Phone (305) 594-9333

10450 NW 33rd St
Unit 205
Doral, FL 33172
Phone (786) 206-3155

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1003002817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 NW 82ND AVE",
            "address_2": "SUITE 502",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666658",
            "telephone_number": "305-594-9333",
            "fax_number": "305-594-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 NW 82ND AVE",
            "address_2": "SUITE 502",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666658",
            "telephone_number": "305-594-9333",
            "fax_number": "305-594-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGLESIAS",
        "first_name": "NAYVIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-15",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 102265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.