Individual provider Active NPI

Alicia Piedra

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1083405187
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11039526 Issued in FL
Practice address
10240 SW 12TH St
Miami, FL 33174-2710
Phone
(786) 291-3269
NPI assigned
May 16, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11039526 FL Primary

Addresses

Primary practice location

10240 SW 12TH St
Miami, FL 33174-2710

Mailing address

10240 SW 12TH St
Miami, FL 33174-2710
Phone (786) 291-3269

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
I20250703001751 FL Practitioner - Nurse Practitioner 0749219319 Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Miami, FL 33174
Phone (786) 291-3269

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11039526FLMDNurse Practitioner

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1083405187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10240 SW 12TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742710",
            "telephone_number": "786-291-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 SW 12TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742710",
            "telephone_number": "786-291-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIEDRA",
        "first_name": "ALICIA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11039526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.