Individual provider Active NPI

Mariana Boada

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1164269189
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11033362 Issued in FL
Practice address
3200 SW 60TH CT Ste 105
Miami, FL 33155-4069
Phone
(305) 663-8505
NPI assigned
Jul 9, 2024
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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 APRN11033362 FL Primary

Addresses

Primary practice location

3200 SW 60TH CT Ste 105
Miami, FL 33155-4069

Mailing address

16520 Sapphire St
Weston, FL 33331-3146

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
I20250529003714 FL Practitioner - Nurse Practitioner 1759890098 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Precision OBGYN -FL PAGroup PAC ID 0446609838, 2 clinicians
MD at Home Central Florida, LLCGroup PAC ID 5395109433, 27 clinicians

Practice addresses (Care Compare)

330 SW 27TH Ave
Suite 609
Miami, FL 33135-2968
Phone (484) 767-8385

8201 Peters Rd
Suite 1000
Plantation, FL 33324-3266
Phone (312) 243-2223

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Precision OBGYN -FL PA CurrentSince Mar 3, 2025 Accepting new patients
MD at Home Central Florida, LLC CurrentSince Nov 17, 2025 Accepting new patients
Florida Arthritis & Rheumatology Associates, LLC PastSince Jul 21, 2024 Accepting new patients

Locations

330 SW 27th Ave
Ste 609
Miami, FL 33135
Phone (305) 424-8622

8201 Peters Rd
Ste 1000
Plantation, FL 33324
Phone (312) 243-2223

Interoperability endpoints

  • Direct secure messaging: mariana.boada.1@3342.direct.athenahealth.com

Organizations & group practices 3

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": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1164269189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16520 SAPPHIRE ST",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SW 60TH CT STE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554069",
            "telephone_number": "305-663-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOADA",
        "first_name": "MARIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11033362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.