Individual provider Active NPI

Enio Reyes Miranda, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1114237252
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9364263 Issued in FL
Practice address
8370 W Flagler St Ste 242
Miami, FL 33144-2040
Phone
(786) 321-1600
Fax
(786) 744-7937
NPI assigned
Oct 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9364263 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9364263 FL Primary

Addresses

Primary practice location

8370 W Flagler St Ste 242
Miami, FL 33144-2040

Mailing address

1315 SW 94TH CT
Miami, FL 33174-3072
Phone (786) 307-1876

Other practice location 1

1315 SW 94th Ct
Miami, FL 33174-3072
Phone (786) 307-1876

Other practice location 2

291 SW 27th Ave
Miami, FL 33135-1401
Phone (305) 858-1828

Other practice location 3

3271 NW 7th St Ste 203
Miami, FL 33125-4141
Phone (786) 220-6902

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
I20150331001707 FL Practitioner - Nurse Practitioner 7911224936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8370 W Flagler St
Miami, FL 33144-2040
Phone (786) 307-1876

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Interamerican Medical Center Group LLC CurrentSince Jun 13, 2023 Accepting new patients

Locations

1000 NW 57th Ct
Ste 400
Miami, FL 33126

291 SW 27th Ave
Miami, FL 33135
Phone (305) 585-1828

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1114237252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 SW 94TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743072",
            "telephone_number": "786-307-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8370 W FLAGLER ST STE 242",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442040",
            "telephone_number": "786-321-1600",
            "fax_number": "786-744-7937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1315 SW 94th Ct",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331743072",
            "country_code": "US",
            "telephone_number": "786-307-1876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "291 SW 27th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331351401",
            "country_code": "US",
            "telephone_number": "305-858-1828",
            "fax_number": "305-856-6786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3271 NW 7th St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331254141",
            "country_code": "US",
            "telephone_number": "786-220-6902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES MIRANDA",
        "first_name": "ENIO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-07",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9364263",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9364263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.