Individual provider Active NPI

Ludim E Herrera

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1013493972
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9268132 Issued in FL
Practice address
2103 Coral Way Ste 603
Miami, FL 33145-2656
Phone
(786) 464-0353
Fax
(786) 483-8142
NPI assigned
Jul 13, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Family Nurse Practitioner 363LF0000X 9268132 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9268132 FL Primary

Addresses

Primary practice location

2103 Coral Way Ste 603
Miami, FL 33145-2656

Mailing address

3152 SW 17TH St
Miami, FL 33145-1802
Phone (786) 378-0358

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
I20191206001765 FL Practitioner - Nurse Practitioner 5294168183 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9268132FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Lives Mental Health Corp CurrentSince Jan 1, 2021 Accepting new patients
Novos Behavioral Health Center Inc CurrentSince Jul 15, 2020 Accepting new patients

Locations

561 NE 79th St
Ste 375
Miami, FL 33138
Phone (786) 409-2568

600 NW 35th Ave
Ste 202203
Miami, FL 33125
Phone (305) 907-4984

2103 Coral Way
Ste 604
Miami, FL 33145
Phone (305) 261-2236

1710 NW 7th St
Ste 7
Miami, FL 33125
Phone (786) 464-0353

1710 NW 7th St
Ste 567
Miami, FL 33125

2103 Coral Way
Ste 603
Miami, FL 33145
Phone (786) 464-0353

Organizations & group practices 2

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": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1013493972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3152 SW 17TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331451802",
            "telephone_number": "786-378-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 CORAL WAY STE 603",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452656",
            "telephone_number": "786-464-0353",
            "fax_number": "786-483-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "LUDIM",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-13",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9268132",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9268132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.