Individual provider Active NPI

Jorge Serret, ARNP

  • Adult Health Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1104330760
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
9290001 Issued in FL
Practice address
315 W 9TH St
Hialeah, FL 33010-3853
Phone
(786) 360-4528
Fax
(786) 360-4529
NPI assigned
Nov 18, 2017
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 9290001 FL Primary

Addresses

Primary practice location

315 W 9TH St
Hialeah, FL 33010-3853

Mailing address

8912 W Flagler St Apt 201
Miami, FL 33174-3916
Phone (786) 683-4944

Other practice location 1

10920 W Flagler St Ste 201
Miami, FL 33174-1243
Phone (786) 623-3915

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
I20190912000599 FL Practitioner - Nurse Practitioner 5890024103 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9290001FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Medical Center LLC Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Damar Medical Center Inc Single Specialty CurrentSince Jul 20, 2019 Accepting new patients
Carewell Clinic Corp Single Specialty CurrentSince May 8, 2025 Accepting new patients
Vision Doctors Group LLC Single Specialty PastSince May 8, 2025 Accepting new patients
Vida Medical Centers of Sweetwater Corp. Past Accepting new patients

Locations

900 W 49th St
Ste 440
Hialeah, FL 33012
Phone (305) 820-1944

2742 SW 8th St
Ste 11
Miami, FL 33135
Phone (786) 615-5819

14901 NW 79th Ct
Miami Lakes, FL 33016
Phone (786) 362-8264

Organizations & group practices 6

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": "1510963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1104330760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8912 W FLAGLER ST APT 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743916",
            "telephone_number": "786-683-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 9TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103853",
            "telephone_number": "786-360-4528",
            "fax_number": "786-360-4529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10920 W Flagler St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331741243",
            "country_code": "US",
            "telephone_number": "786-623-3915",
            "fax_number": "786-623-3916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERRET",
        "first_name": "JORGE",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-18",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9290001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.