Individual provider Active NPI

Mayelin Luis Quintana

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1003535956
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11021286 Issued in FL
Practice address
14452 SW 49TH St
Miami, FL 33175-5048
Phone
(786) 402-9525
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11021286 FL Primary

Addresses

Primary practice location

14452 SW 49TH St
Miami, FL 33175-5048

Mailing address

14452 SW 49TH St
Miami, FL 33175-5048
Phone (786) 402-9525

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
I20221006003355 FL Practitioner - Nurse Practitioner 9436535945 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11021286FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Step Medical Center CurrentSince Jul 1, 2024 Accepting new patients

Locations

600 NW 35th Ave
Ste 100102
Miami, FL 33125
Phone (305) 642-1866

Organizations & group practices 1

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": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1003535956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14452 SW 49TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331755048",
            "telephone_number": "786-402-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14452 SW 49TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331755048",
            "telephone_number": "786-402-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUIS QUINTANA",
        "first_name": "MAYELIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11021286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.