Individual provider Active NPI

Iraldo Frometa Molina, APRN FNP AUTONOMOUS

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1033438528
Registry record updated Aug 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11029566 Issued in FL
Practice address
8415 SW 107TH Ave Apt 144W
Miami, FL 33173-4376
Phone
(786) 873-1306
NPI assigned
May 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11029566 FL Primary
Nurse Practitioner 363L00000X 11029566 FL
Registered Nurse 163W00000X 9420544 FL

Addresses

Primary practice location

8415 SW 107TH Ave Apt 144W
Miami, FL 33173-4376

Mailing address

8724 SW 72ND St # 455
Miami, FL 33173-3512
Phone (786) 873-1306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240513003663 FL Practitioner - Nurse Practitioner 9830530575 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11029566FLMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Medical Services - Wound Care Division LLC CurrentSince Feb 25, 2024 Accepting new patients
Podiatry Care Partners Inc PastSince Nov 26, 2023 Accepting new patients
Miami Cerebral Palsy Residential Facility, Inc. PastSince Nov 26, 2023 Accepting new patients

Locations

8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272

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": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787356800000",
    "number": "1033438528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8724 SW 72ND ST # 455",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733512",
            "telephone_number": "786-873-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 SW 107TH AVE APT 144W",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734376",
            "telephone_number": "786-873-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROMETA MOLINA",
        "first_name": "IRALDO",
        "credential": "APRN FNP AUTONOMOUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-24",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11029566",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11029566",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9420544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.