Active NPI
Nelva R Puertolas, APRN
- Family Nurse Practitioner
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9294402
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130004900 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miami Beach Community Health Center Inc | Current | 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
- nelva.puertolas.1@15759.direct.athenahealth.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Miami Beach, FL
- NPI 1063411874
-
- Federally Qualified Health Center (FQHC)
- Miami, FL
- NPI 1053780734
-
- Federally Qualified Health Center (FQHC)
- Miami Beach, FL
- NPI 1821251612
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.