Individual provider Active NPI

Socorro Miryam Mathews, ARNP

  • Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1104152677
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2626162 Issued in FL
Practice address
7150 W 20TH Ave Ste 109
Hialeah, FL 33016-5509
Phone
(305) 827-8399
NPI assigned
Oct 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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 2626162 FL Primary

Addresses

Primary practice location

7150 W 20TH Ave Ste 109
Hialeah, FL 33016-5509

Mailing address

6100 SW 183Rd Way
Southwest Ranches, FL 33331-1640
Phone (954) 806-9697

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
I20190212001401 FL Practitioner - Nurse Practitioner 4587829759 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians
Eastside Hospitalists IncGroup PAC ID 9436157831, 179 clinicians

Practice addresses (Care Compare)

11750 SW 40 St
Kendall Regional Medical Center
Miami, FL 33175-3530
Phone (305) 223-3000

2025 Indian Rocks Rd
Largo Medical Center
Miami, FL 33175-3530
Phone (727) 586-7100

20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone (305) 682-7000

3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 265-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2626162FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Hospitalists Inc Nurse Practitioner CurrentSince Sep 1, 2022 Accepting new patients
Villagehealth DM LLC CurrentSince Mar 28, 2020 Accepting new patients
Florida Kidney Physicians, LLC CurrentSince Feb 1, 2020 Accepting new patients
Hospital Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
Florida Kidney Physicians , LLC CurrentSince Feb 1, 2020 Accepting new patients

Locations

1905 Clint Moore Rd
Ste 212
Boca Raton, FL 33496
Phone (561) 208-2121

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558

1299 E Commercial Blvd
Ste 201
Oakland Park, FL 33334
Phone (720) 631-1142

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 3

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": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1104152677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 SW 183RD WAY",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333311640",
            "telephone_number": "954-806-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 W 20TH AVE STE 109",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165509",
            "telephone_number": "305-827-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "SOCORRO",
        "middle_name": "MIRYAM",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "2626162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.