Active NPI
Raquel Putulin Lee, ARNP
- Adult Health Nurse Practitioner
- Miami, FL
National Provider Identifier
1053737288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- ARNP9249759
- Practice address
- 9555 SW 162ND Ave
Miami, FL 33196 - Phone
- (786) 467-2000
- NPI assigned
- Mar 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ARNP9249759 | FL | Primary |
Addresses
Primary practice location
9555 SW 162ND Ave
Miami, FL 33196
Mailing address
1917 NW 137TH Way
Pembroke Pines, FL 33028-2609
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 5, 2024 through Jul 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9249759 | FL | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532390400000",
"number": "1053737288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1917 NW 137TH WAY",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330282609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9555 SW 162ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33196",
"telephone_number": "786-467-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "RAQUEL",
"middle_name": "PUTULIN",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-12",
"last_updated": "2018-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP9249759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.