Individual provider Active NPI

Nelson T Caceres, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1033511134
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9366852 Issued in FL
Practice address
6021 SW 109TH Ave
Miami, FL 33173-1246
Phone
(305) 775-1775
NPI assigned
Sep 19, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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 ARNP9366852 FL Primary

Addresses

Primary practice location

6021 SW 109TH Ave
Miami, FL 33173-1246

Mailing address

6021 SW 109TH Ave
Miami, FL 33173-1246
Phone (305) 775-1775

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
I20151210000300 FL Practitioner - Nurse Practitioner 5092016386 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9366852FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Francis N Crespo MD PA CurrentSince Dec 10, 2017 Accepting new patients

Locations

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

15476 NW 77th Ct
Miami Lakes, FL 33016
Phone (786) 200-9189

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": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1033511134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 SW 109TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731246",
            "telephone_number": "305-775-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 SW 109TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731246",
            "telephone_number": "305-775-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACERES",
        "first_name": "NELSON",
        "middle_name": "T",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9366852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.