Mauricio Giraldo Restrepo, APRN
Individual provider Active NPI Family Nurse Practitioner · Hallandale, FL
NPI 1093473662 · NPPES record last updated Aug 15, 2025
Key facts
- NPI
- 1093473662
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11016171 (FL)
- Practice address
- 200 East Hallandale Blvd
Hallandale, FL 33009 - Phone
- (954) 362-8677
- Fax
- (954) 458-8167
- NPI assigned
- Dec 1, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230308003191 | FL | Practitioner - Nurse Practitioner | 7416320668 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11016171 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hernando Giraldo MD Inc | Current |
Accepting new patients |
Locations
200 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 457-8305
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HCHCAD
- https://fhir4.healow.com/fhir/r4/HCHCAD/Endpoint/HCHCAD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11016171 | FL | Yes |
Addresses
Primary practice location
200 East Hallandale Blvd
Hallandale, FL 33009
Mailing address
200 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-5525
Phone (954) 362-8677
Other providers in Hallandale, FL
- Maria E. Fernandez-Mestres
- Teresa Fernandez
- Friendly Urgent Care, Inc
- Gordon Garland
- Gave Corporation
- Sharon Michelle Glekel
- Grant State Services Inc
- Hallandale Health Spa & Clinic Inc
- Hallandale Medical Supply Inc.
- Hallandale Open MRI, LLC
All providers in Hallandale, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.