Individual provider Active NPI

Misleidys Rivero Martin, APRN

  • Family Nurse Practitioner
  • Miami Gardens, FL
National Provider Identifier
1053014191
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11024919 Issued in FL
Practice address
2851 NW 175TH St
Miami Gardens, FL 33056-4044
Phone
(305) 336-8304
NPI assigned
Mar 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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 11024919 FL Primary

Addresses

Primary practice location

2851 NW 175TH St
Miami Gardens, FL 33056-4044

Mailing address

2851 NW 175TH St
Miami Gardens, FL 33056-4044
Phone (305) 336-8304

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
I20250203002704 FL Practitioner - Nurse Practitioner 3870023070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infinity Life Wellness Center IncGroup PAC ID 5799177150, 2 clinicians

Practice addresses (Care Compare)

13701 SW 88TH St
Suite 202a
Miami, FL 33186-1320
Phone (786) 525-2079

13701 SW 88TH St
Suite 302
Miami, FL 33186-1309
Phone (786) 842-1489

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11024919FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A Healthy Mind a Healthy Life Inc CurrentSince Jun 1, 2025 Accepting new patients
M&L Integrated Social Services Inc CurrentSince Nov 1, 2025 Accepting new patients
Wellness Are USA Inc CurrentSince Dec 29, 2024 Accepting new patients
Infinity Life Wellness Center Inc CurrentSince Mar 20, 2025 Accepting new patients
Aaa Mental Health Services LLC PastSince Jan 1, 2025 Accepting new patients

Locations

7605 Davie Road Ext
Ste 6
Hollywood, FL 33024
Phone (786) 616-2150

3220 Lantana Rd
Lake Worth, FL 33462
Phone (786) 760-0135

13701 SW 88th St
Ste 302
Miami, FL 33186
Phone (786) 616-2146

13701 SW 88th St
Ste 202A
Miami, FL 33186
Phone (786) 519-1727

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1053014191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 NW 175TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330564044",
            "telephone_number": "305-336-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 NW 175TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330564044",
            "telephone_number": "305-336-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERO MARTIN",
        "first_name": "MISLEIDYS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11024919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

Verify at the official NPI Registry.