Individual provider Active NPI

Adrian Vila Montalvan, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1104486018
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11002388 Issued in FL
Practice address
7770 SW 161St PL
Miami, FL 33193-3418
Phone
(786) 447-3347
NPI assigned
Jun 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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 11002388 FL Primary

Addresses

Primary practice location

7770 SW 161St PL
Miami, FL 33193-3418

Mailing address

7770 SW 161St PL
Miami, FL 33193-3418
Phone (786) 447-3347

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL MAC Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11002388FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1104486018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7770 SW 161ST PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933418",
            "telephone_number": "786-447-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7770 SW 161ST PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933418",
            "telephone_number": "786-447-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILA MONTALVAN",
        "first_name": "ADRIAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11002388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MAC",
            "affiliation": "N",
            "endpointDescription": "e4:a7:a0:bc:bf:bf",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Home Internet",
            "address_1": "7770 SW 161st Pl",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331933418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.