Active NPI
Jorge Tase, APRN, FNP, PMHNP
- Family Nurse Practitioner
- Doral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11025309
- Practice address
- 3625 NW 82ND Ave Ste 408
Doral, FL 33166-7602 - Phone
- (305) 939-6877
- NPI assigned
- Nov 3, 2021
- Last updated
- Apr 5, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F03230441 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN11025309 | FL | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2023208786 | FL | |
| Primary Care Nurse Practitioner | 363LP2300X | APRN11025309 | FL | |
| Occupational Health Nurse Practitioner | 363LX0106X | 2340260062 | FL | |
| Registered Nurse | 163W00000X | RN9544203 | FL |
Addresses
Primary practice location
3625 NW 82ND Ave Ste 408
Doral, FL 33166-7602
Mailing address
9501 Fontainebleau Blvd Apt 401
Miami, FL 33172-6820
Phone (786) 738-3682
Other practice location 1
15260 SW 280th St Ste 113
Homestead, FL 33032-8186
Phone (305) 998-7885
Other practice location 2
6785 W Flagler St
Miami, FL 33144-2923
Phone (888) 560-6040
Other practice location 3
9501 Fontainebleau Blvd Apt 401
Miami, FL 33172-6820
Phone (786) 738-3682
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
10201 Hammocks Blvd
Suite 157
Miami, FL 33196-3791
15260 SW 280TH St
Suite 113
Homestead, FL 33032-8186
7180 N Augusta Dr
Hialeah, FL 33015-2077
9561 Fontainebleau Blvd
Apt 218
Miami, FL 33172-6807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9544203 | FL | MD | Registered Nurse |
| F03230441 | FL | MD | Nurse Practitioner |
| 2023208786 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
| 2340260062 | FL | MD | Occupational Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GT Health & Mental Services | Psychiatric/Mental Health | Current | Accepting new patients |
| Wedo Medical Center Corp | Current | Accepting new patients | |
| Elion Health Corp | Current | Accepting new patients | |
| Sunbright Health Medical Centers, Inc. | Current | Accepting new patients | |
| Ariel J Goitia MD Corp | Past | Accepting new patients |
Locations
15260 SW 280th St
Ste 113
Homestead, FL 33032
Phone (305) 998-7885
2215 NW 36th St
Miami, FL 33142
Phone (786) 502-3857
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Homestead, FL
- NPI 1902314255
-
- Adult Mental Health Clinic/Center
- Miami, FL
- NPI 1043182983
Psychiatric/Mental Health
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Homestead, FL
- NPI 1376486928
-
- General Practice Physician
- Miami, FL
- NPI 1245990019
-
- Psychiatry Physician
- Doral, FL
- NPI 1538878202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775347200000",
"number": "1043975105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9501 FONTAINEBLEAU BLVD APT 401",
"city": "MIAMI",
"state": "FL",
"postal_code": "331726820",
"telephone_number": "786-738-3682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 NW 82ND AVE STE 408",
"city": "DORAL",
"state": "FL",
"postal_code": "331667602",
"telephone_number": "305-939-6877"
}
],
"practiceLocations": [
{
"address_1": "15260 SW 280th St Ste 113",
"address_purpose": "LOCATION",
"city": "Homestead",
"state": "FL",
"postal_code": "330328186",
"country_code": "US",
"telephone_number": "305-998-7885",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6785 W Flagler St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331442923",
"country_code": "US",
"telephone_number": "888-560-6040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9501 Fontainebleau Blvd Apt 401",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331726820",
"country_code": "US",
"telephone_number": "786-738-3682",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TASE",
"first_name": "JORGE",
"credential": "APRN, FNP, PMHNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-03",
"last_updated": "2026-04-05",
"certification_date": "2026-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "F03230441",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11025309",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "2023208786",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "APRN11025309",
"primary": false
},
{
"code": "363LX0106X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Occupational Health",
"state": "FL",
"license": "2340260062",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9544203",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.