Individual provider Active NPI

Maryorys Horta

  • Family Nurse Practitioner
  • Hialeah Gardens, FL
National Provider Identifier
1184295990
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
06212696 Issued in FL
Practice address
8754 NW 110TH LN
Hialeah Gardens, FL 33018-4558
Phone
(786) 447-5820
NPI assigned
Jul 2, 2021
Last updated
Jul 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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 06212696 FL Primary

Addresses

Primary practice location

8754 NW 110TH LN
Hialeah Gardens, FL 33018-4558

Mailing address

8754 NW 110TH LN
Hialeah Gardens, FL 33018-4558
Phone (786) 447-5820

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

State licenses

LicenseStateTypeSpecialty
06212696FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1184295990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8754 NW 110TH LN",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184558",
            "telephone_number": "786-447-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8754 NW 110TH LN",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184558",
            "telephone_number": "786-447-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTA",
        "first_name": "MARYORYS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "06212696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.