Active NPI
Issette Borrego, RN
- Infusion Therapy Registered Nurse
- Hollywood, FL
National Provider Identifier
1124837935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Registered Nurse
- License
- RN9299397
- Practice address
- 411 S 21St Ave
Hollywood, FL 33020-5013 - Phone
- (786) 299-1926
- NPI assigned
- Jan 6, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | |||
| Infusion Therapy Registered Nurse | 163WI0500X | RN9299397 | FL | Primary |
Addresses
Primary practice location
411 S 21St Ave
Hollywood, FL 33020-5013
Mailing address
7900 Harbor Island Dr # A1413
North Bay Village, FL 33141-4281
Phone (305) 308-2113
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9299397 | FL | MD | Infusion Therapy Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Ppec Inc | Current | Accepting new patients |
Locations
411 S 21st Ave
Hollywood, FL 33020
Phone (754) 263-2925
Organizations & group practices 1
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.
-
- Medically Fragile Infants and Children Day Care
- Hollywood, FL
- NPI 1396624268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1124837935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7900 HARBOR ISLAND DR # A1413",
"city": "NORTH BAY VILLAGE",
"state": "FL",
"postal_code": "331414281",
"telephone_number": "305-308-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 S 21ST AVE",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330205013",
"telephone_number": "786-299-1926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORREGO",
"first_name": "ISSETTE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-06",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WI0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Infusion Therapy",
"state": "FL",
"license": "RN9299397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.