Individual provider Active NPI

Odalis Del Rio Cuevas

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1053926717
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08200042 Issued in FL
Practice address
8861 SW 4TH LN
Miami, FL 33174-2441
Phone
(305) 986-5760
NPI assigned
Sep 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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 F08200042 FL Primary

Addresses

Primary practice location

8861 SW 4TH LN
Miami, FL 33174-2441

Mailing address

8861 SW 4TH LN
Miami, FL 33174-2441
Phone (305) 986-5760

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
I20201208002645 FL Practitioner - Nurse Practitioner 0840602231 Reassigns benefits to 3 organizations
Practice locations: Miami, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F08200042FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Living Care Therapy Center Inc CurrentSince Apr 8, 2025 Accepting new patients
Suncare Medical Center LLC CurrentSince Mar 1, 2024 Accepting new patients
One Soul CMH, Inc CurrentSince Mar 22, 2025 Accepting new patients
Soar Community Mental Health Center Inc CurrentSince Jul 8, 2025 Accepting new patients

Locations

4160 W 16th Ave
Ste 405
Hialeah, FL 33012
Phone (786) 302-8719

10511 SW 88th St
Ste C103
Miami, FL 33176
Phone (786) 530-7427

8360 W Flagler St
Ste 102
Miami, FL 33144
Phone (305) 229-0713

1782 W Flagler St
Miami, FL 33135
Phone (305) 489-9090

5901 NW 183rd St
Ste 128
Miami Gardens, FL 33015
Phone (786) 332-4965

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.

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1053926717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8861 SW 4TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742441",
            "telephone_number": "305-986-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8861 SW 4TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742441",
            "telephone_number": "305-986-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL RIO CUEVAS",
        "first_name": "ODALIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F08200042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.