Vivian Alonso-Zaila, ARNP
Individual provider Active NPI Family Nurse Practitioner · Miami Gardens, FL
NPI 1174559645 · NPPES record last updated Jan 22, 2010
Key facts
- NPI
- 1174559645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2224722 (FL)
- Practice address
- 3422 NW 187TH St
Health Clinic
Miami Gardens, FL 33056-2964 - Phone
- (305) 628-9556
- Fax
- (305) 628-9493
- NPI assigned
- Jun 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080626000599 | FL | Practitioner - Nurse Practitioner | 1052483617 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2224722 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Health Trust of Miami Dade County Florida | Current |
Accepting new patients | |
| Public Health Trust of Miami Dade County Florida | Current | Accepting new patients | |
| Public Health Trust of Miami Dade County Florida | Current |
Accepting new patients | |
| Public Health Trust of Miami Dade County Florida | Past | Accepting new patients | |
| Public Health Trust of Miami Dade County Florida | Past | Accepting new patients |
Locations
18910 S Dixie Hwy
Cutler Bay, FL 33157
Phone (305) 585-9230
13707 SW 152nd St
Miami, FL 33177
Phone (305) 585-9200
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2224722 | FL | Yes |
Addresses
Primary practice location
3422 NW 187TH St
Health Clinic
Miami Gardens, FL 33056-2964
Mailing address
17800 NW 78TH PL
Miami, FL 33015-2815
Phone (305) 608-5674
Other providers in Miami Gardens, FL
- Noralis Almonte
- Annia Alonso Cordova
- Ilian M Alonso Escobar
- Roberto Alonso Escobar
- Stephanie Kriss Alonso Lopez
- Yudid Alonso
- Als Medical Group Miami Gardens LLC
- Etian Rogelio Alsina Arredondo
- Khadine Simone Alston
- Jessica Alexandra Altamirano
All providers in Miami Gardens, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.