Individual provider Active NPI

Lidice Vega Curbelo

  • Primary Care Nurse Practitioner
  • Miami, FL
National Provider Identifier
1104515824
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F04230111 Issued in FL
Practice address
18212 SW 109TH PL
Miami, FL 33157-9006
Phone
(786) 237-8869
NPI assigned
May 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X F04230111 FL Primary

Addresses

Primary practice location

18212 SW 109TH PL
Miami, FL 33157-9006

Mailing address

18212 SW 109TH PL
Miami, FL 33157-9006
Phone (786) 237-8869

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F04230111FLMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1104515824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18212 SW 109TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331579006",
            "telephone_number": "786-237-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18212 SW 109TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331579006",
            "telephone_number": "786-237-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA CURBELO",
        "first_name": "LIDICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "F04230111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.