Individual provider Active NPI

Elsa Lisset Arredondo Torres, APRN

  • Family Nurse Practitioner
  • Tamarac, FL
National Provider Identifier
1124734074
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11024025 Issued in FL
Practice address
7686 N Nob Hill Rd
Tamarac, FL 33321-1843
Phone
(954) 597-0135
Fax
(888) 640-7837
NPI assigned
Jan 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 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 11024025 FL Primary

Addresses

Primary practice location

7686 N Nob Hill Rd
Tamarac, FL 33321-1843

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elsa.lisset.arredondo.1@29601.direct.athenahealth.com Direct

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
I20230501002753 FL Practitioner - Nurse Practitioner 7618332446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

11460 Pines Blvd
Pembroke Pines, FL 33026-4128
Phone (954) 433-4200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11024025FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Beach Medical Consultants, LLC. CurrentSince Jul 4, 2023 Accepting new patients
Conviva Medical Center Management LLC CurrentSince Dec 12, 2024 Accepting new patients
Metcare of Florida Past Accepting new patients
Conviva Specialty, LLC PastSince Dec 12, 2024 Accepting new patients

Locations

7291 Atlantic Ave
#48
Delray Beach, FL 33446
Phone (561) 344-1130

440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000

2417 US Highway 98 N
Lakeland, FL 33805
Phone (863) 821-0030

7500 SW 8th St
Ste 400
Miami, FL 33144

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

1200 Alton Rd
Miami Beach, FL 33139
Phone (305) 534-3242

11460 Pines Blvd
Pembroke Pines, FL 33026
Phone (954) 433-4200

1400 NW 107th Ave
Ste 500
Sweetwater, FL 33172
Phone (786) 534-4285

7495 N University Dr
Tamarac, FL 33321
Phone (954) 306-9037

7686 N Nob Hill Rd
Tamarac, FL 33321
Phone (954) 597-0135

Organizations & group practices 4

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": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1124734074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7686 N NOB HILL RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211843",
            "telephone_number": "954-597-0135",
            "fax_number": "888-640-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARREDONDO TORRES",
        "first_name": "ELSA",
        "middle_name": "LISSET",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11024025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elsa.lisset.arredondo.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7686 N Nob Hill Rd",
            "city": "Tamarac",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333211843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.