Individual provider Active NPI

Judith Penichet Alvarez

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1083227409
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11007987 Issued in FL
Practice address
1565 W 29TH St
Hialeah, FL 33012-5516
Phone
(305) 537-4110
Fax
(305) 675-2860
NPI assigned
Aug 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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 11007987 FL Primary

Addresses

Primary practice location

1565 W 29TH St
Hialeah, FL 33012-5516

Mailing address

9000 NW 15TH St Unit 6
Doral, FL 33172-2990
Phone (786) 315-1096

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
I20210818004218 FL Practitioner - Nurse Practitioner 8729483466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VMFL Medical Centers LLCGroup PAC ID 6103299326, 13 clinicians

Practice addresses (Care Compare)

1565 W 29TH St
Hialeah, FL 33012-5516
Phone (305) 537-4110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11007987FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VMFL Medical Centers LLC CurrentSince Jul 1, 2025 Accepting new patients
Eden Medical Center, LLC CurrentSince May 11, 2021 Accepting new patients
VMFL Medical Centers LLC CurrentSince Jul 1, 2025 Accepting new patients
VMFL Medical Centers LLC Current Accepting new patients
Salus Health LLC PastSince May 11, 2021 Accepting new patients

Locations

9000 NW 15th St
Unit 6
Doral, FL 33172
Phone (305) 505-7149

1565 W 29th St
Hialeah, FL 33012
Phone (305) 537-4110

8302 NW 103rd St
Ste 201
Hialeah Gardens, FL 33016
Phone (786) 420-5111

109 Royal Palm Way
Palm Beach, FL 33480

Interoperability endpoints

  • Direct secure messaging: judith.penichetalvarez.p1@direct.vivamasmedical.nextgenshare.com

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": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1083227409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 NW 15TH ST UNIT 6",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722990",
            "telephone_number": "786-315-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 W 29TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125516",
            "telephone_number": "305-537-4110",
            "fax_number": "305-675-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENICHET ALVAREZ",
        "first_name": "JUDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.