Individual provider Active NPI

Nelva R Puertolas, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1114439841
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9294402 Issued in FL
Practice address
11645 Biscayne Blvd Ste 405
Miami, FL 33181-3139
Phone
(305) 538-8835
Fax
(305) 994-0054
NPI assigned
Nov 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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 APRN9294402 FL Primary

Addresses

Primary practice location

11645 Biscayne Blvd Ste 405
Miami, FL 33181-3139

Mailing address

11645 Biscayne Blvd Ste 207
Miami, FL 33181-3138
Phone (305) 538-8835

Other practice location 1

11645 Biscayne Blvd Ste 408
Miami, FL 33181-3148
Phone (305) 538-8835

Other identifiers 1

IdentifierTypeStateIssuer
130004900MedicaidFL

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
I20190515000476 FL Practitioner - Nurse Practitioner 8729321740 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Beach Community Health Center Inc CurrentSince Jan 22, 2026 Accepting new patients
Miami Beach Community Health Center Inc Past Accepting new patients

Locations

1221 71st St
Miami Beach, FL 33141

710 Alton Rd
Miami Beach, FL 33139

11645 Biscayne Blvd
Ste 309
North Miami, FL 33181
Phone (867) 920-2021

11645 Biscayne Blvd
Ste 408
North Miami, FL 33181

11645 Biscayne Blvd
Ste 301
North Miami, FL 33181
Phone (869) 202-0217

11645 Biscayne Blvd
Ste 207
North Miami, FL 33181
Phone (704) 297-9229

11645 Biscayne Blvd
Ste 405
North Miami, FL 33181

11645 Biscayne Blvd
Ste 302
North Miami, FL 33181

11645 Biscayne Blvd
Ste 401
North Miami, FL 33181

11645 Biscayne Blvd
Ste 308
North Miami, FL 33181
Phone (305) 895-0010

Interoperability endpoints

  • Direct secure messaging: nelva.puertolas.1@15759.direct.athenahealth.com
  • Direct secure messaging: nelva.puertolas.1@19294.direct.athenahealth.com

Organizations & group practices 3

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": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1114439841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 BISCAYNE BLVD STE 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331813138",
            "telephone_number": "305-538-8835",
            "fax_number": "305-994-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 BISCAYNE BLVD STE 405",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331813139",
            "telephone_number": "305-538-8835",
            "fax_number": "305-994-0054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11645 Biscayne Blvd Ste 408",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331813148",
            "country_code": "US",
            "telephone_number": "305-538-8835",
            "fax_number": "305-994-0054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUERTOLAS",
        "first_name": "NELVA",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9294402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130004900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.