Individual provider Active NPI

Vivian Cobo-Afanador

  • Acute Care Nurse Practitioner
  • Homestead, FL
National Provider Identifier
1114510096
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN11003916 Issued in FL
Practice address
11800 SW 251St St
Homestead, FL 33032-6033
Phone
(305) 898-2577
NPI assigned
Feb 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN11003916 FL Primary

Addresses

Primary practice location

11800 SW 251St St
Homestead, FL 33032-6033

Mailing address

11800 SW 251St St
Homestead, FL 33032-6033
Phone (305) 898-2577

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL cobovivian@gmail.com 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
APRN11003916FLMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1114510096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 SW 251ST ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330326033",
            "telephone_number": "305-898-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 SW 251ST ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330326033",
            "telephone_number": "305-898-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBO-AFANADOR",
        "first_name": "VIVIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11003916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cobovivian@gmail.com",
            "affiliation": "N",
            "endpointDescription": "cobovivian@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cobovivian@gmail.com",
            "address_1": "11800 SW 251st St",
            "city": "Homestead",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330326033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.