Individual provider Active NPI

Alexander Reyna Cisneros

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1003325838
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11006681 Issued in FL
Practice address
1100 SW 36TH CT Apt 1
Miami, FL 33135-4243
Phone
(178) 637-9604
NPI assigned
Sep 25, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Nurse Practitioner 363L00000X APRN11006681 FL Primary

Addresses

Primary practice location

1100 SW 36TH CT Apt 1
Miami, FL 33135-4243

Mailing address

1100 SW 36TH CT Apt 1
Miami, FL 33135-4243
Phone (178) 637-9604

Other practice location 1

3881 E 9th Ln
Hialeah, FL 33013-2818
Phone (786) 379-6048

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211210000409 FL Practitioner - Nurse Practitioner 4688064066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Comprehensive Urgent Care, LLC.Group PAC ID 4284040353, 4 clinicians

Practice addresses (Care Compare)

3595 W 20TH Ave
Suite 130
Hialeah, FL 33012-4537
Phone (305) 883-8488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Comprehensive Urgent Care LLC CurrentSince Sep 15, 2022 Accepting new patients
The Medical City LLC CurrentSince Jul 11, 2025 Accepting new patients
Integrated Comprehensive Urgent Care, LLC. CurrentSince Sep 15, 2022 Accepting new patients

Locations

3595 W 20th Ave
Ste 130
Hialeah, FL 33012
Phone (305) 456-7951

Organizations & group practices 3

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": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1003325838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SW 36TH CT APT 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354243",
            "telephone_number": "178-637-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SW 36TH CT APT 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354243",
            "telephone_number": "178-637-9604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3881 E 9th Ln",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330132818",
            "country_code": "US",
            "telephone_number": "786-379-6048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNA CISNEROS",
        "first_name": "ALEXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-25",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11006681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.