Individual provider Active NPI

Jose Luis Valenciaga, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1154759546
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9262554 Issued in FL
Practice address
1200 SW 1St St
Miami, FL 33135-2402
Phone
(305) 324-2000
Fax
(844) 722-0042
NPI assigned
Oct 22, 2013
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 ARNP9262554 FL Primary

Addresses

Primary practice location

1200 SW 1St St
Miami, FL 33135-2402

Mailing address

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

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jose.luis.valenciaga.2@29601.direct.athenahealth.com Direct
Direct Messaging Address jose.luis.valenciaga.2@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
I20160119001606 FL Practitioner - Nurse Practitioner 3375846785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conviva Specialty LLCGroup PAC ID 2365729308, 16 clinicians

Practice addresses (Care Compare)

1200 SW 1St St
Miami, FL 33135-2402
Phone (786) 723-5783

301 NW 84TH Ave
Suite 302
Plantation, FL 33324-1807
Phone (954) 247-2168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9262554FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Specialty, LLC CurrentSince May 1, 2019 Accepting new patients

Locations

11000 SW 211th St
Cutler Bay, FL 33189
Phone (305) 254-1500

1200 SW 1st St
Miami, FL 33135
Phone (305) 324-2000

15516 SW 88th St
Miami, FL 33196
Phone (305) 387-3300

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

6101 Blue Lagoon Dr
Ste 400
Miami, FL 33126
Phone (305) 500-2114

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

301 NW 84th Ave
#302
Plantation, FL 33324
Phone (954) 247-2168

Interoperability endpoints

  • Direct secure messaging: jose.luis.valenciaga.1@29601.direct.athenahealth.com
  • Direct secure messaging: jose.luis.valenciaga.2@29601.direct.athenahealth.com

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, 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": "1382400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1154759546",
    "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": "1200 SW 1ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352402",
            "telephone_number": "305-324-2000",
            "fax_number": "844-722-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIAGA",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-22",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9262554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jose.luis.valenciaga.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1200 SW 1st St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331352402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jose.luis.valenciaga.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1200 SW 1st St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331352402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.