Individual provider Active NPI

Melba L Rubayo-Acosta

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1023752649
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11018963 Issued in FL
Practice address
1738 W 49TH St Ste 10
Hialeah, FL 33012-3457
Phone
(305) 698-8432
Fax
(305) 698-8975
NPI assigned
Apr 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11018963 FL Primary

Addresses

Primary practice location

1738 W 49TH St Ste 10
Hialeah, FL 33012-3457

Mailing address

12401 SW 187TH St
Miami, FL 33177-3129
Phone (786) 252-0037

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
I20220517001876 FL Practitioner - Nurse Practitioner 2567849367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers of Medical Excellence LLCGroup PAC ID 9739588666, 8 clinicians

Practice addresses (Care Compare)

1176 SW 67TH Ave
Miami, FL 33144-4700
Phone (305) 874-3909

7925 NW 12TH St
Suite 201
Doral, FL 33126-1821

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11018963FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centers of Medical Excellence, LLC CurrentSince May 1, 2022 Accepting new patients

Locations

7925 NW 12th St
Ste 201
Doral, FL 33126

1738 W 49th St
Ste 10
Hialeah, FL 33012
Phone (305) 698-8432

1501 NW 36th St
Miami, FL 33142
Phone (786) 260-8151

1176 SW 67th Ave
Miami, FL 33144
Phone (305) 359-9838

5850 W Flagler St
Miami, FL 33144
Phone (305) 263-9590

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": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1023752649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 SW 187TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331773129",
            "telephone_number": "786-252-0037",
            "fax_number": "305-316-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 W 49TH ST STE 10",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123457",
            "telephone_number": "305-698-8432",
            "fax_number": "305-698-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBAYO-ACOSTA",
        "first_name": "MELBA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11018963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.