Individual provider Active NPI

Jorge Tase, APRN, FNP, PMHNP

  • Family Nurse Practitioner
  • Doral, FL
National Provider Identifier
1043975105
Registry record updated Apr 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11025309 Issued in FL
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230816003598 FL Practitioner - Nurse Practitioner 0749642114 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
RN9544203FLMDRegistered Nurse
F03230441FLMDNurse Practitioner
2023208786FLMDPsychiatric/Mental Health Nurse Practitioner
2340260062FLMDOccupational Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
GT Health & Mental Services Psychiatric/Mental Health CurrentSince Sep 21, 2025 Accepting new patients
Wedo Medical Center Corp CurrentSince Jul 1, 2023 Accepting new patients
Elion Health Corp CurrentSince Jun 7, 2026 Accepting new patients
Sunbright Health Medical Centers, Inc. CurrentSince Dec 4, 2025 Accepting new patients
Ariel J Goitia MD Corp PastSince Feb 4, 2024 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.

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

Verify at the official NPI Registry.