Active NPI
Luz Marina Racedo-Martin
- Family Nurse Practitioner
- Miami, FL
National Provider Identifier
1053814806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9244232
- Practice address
- 11925 Bird Dr
Miami, FL 33175-3571 - Phone
- (305) 467-4442
- NPI assigned
- Mar 16, 2018
- Last updated
- Dec 26, 2024
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9244232 | FL | Primary |
Addresses
Primary practice location
11925 Bird Dr
Miami, FL 33175-3571
Mailing address
121 S Orange Ave Ste 940
Orlando, FL 32801-3234
Phone (407) 658-9687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9244232 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandiego Medical Service Inc. | Family | Current | Accepting new patients |
| Quality Services Home Health Inc | Past | Accepting new patients | |
| Idelis Fedeslinda Arias de la Torre | Past | Accepting new patients | |
| Orlando Family Physicians, LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Family Nurse Practitioner
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- NPI 1639747595
-
- General Practice Physician
- Orlando, FL
- NPI 1912579673
-
- Home Health Agency
- Hialeah, FL
- NPI 1528115342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735171200000",
"number": "1053814806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 S ORANGE AVE STE 940",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328013234",
"telephone_number": "407-658-9687",
"fax_number": "407-286-4515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11925 BIRD DR",
"city": "MIAMI",
"state": "FL",
"postal_code": "331753571",
"telephone_number": "305-467-4442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACEDO-MARTIN",
"first_name": "LUZ MARINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-16",
"last_updated": "2024-12-26",
"certification_date": "2024-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9244232",
"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 Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.