Individual provider Active NPI

Yamiri Leon Infante

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1134802929
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
666872 Issued in FL
Practice address
4995 NW 72ND Ave Ste 406
Miami, FL 33166-5643
Phone
(305) 603-8410
NPI assigned
Aug 9, 2023
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 666872 FL Primary

Addresses

Primary practice location

4995 NW 72ND Ave Ste 406
Miami, FL 33166-5643

Mailing address

8136 SW 163Rd CT
Miami, FL 33193-5120
Phone (786) 362-3923

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
I20230925002017 FL Practitioner - Nurse Practitioner 2365896347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Wound Care Center LLCGroup PAC ID 7517358575, 11 clinicians

Practice addresses (Care Compare)

4995 NW 72ND Ave
Suite 406
Miami, FL 33166-5643
Phone (786) 290-6123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
666872FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Wound Care Center LLC CurrentSince Sep 12, 2023 Accepting new patients
Mi Nueva Vida Alf Inc. Current Accepting new patients

Locations

4995 NW 72nd Ave
Ste 406
Miami, FL 33166
Phone (305) 603-8410

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1134802929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8136 SW 163RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935120",
            "telephone_number": "786-362-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4995 NW 72ND AVE STE 406",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331665643",
            "telephone_number": "305-603-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON INFANTE",
        "first_name": "YAMIRI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "666872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.