Individual provider Active NPI

Maria De Las Mercedes Henriquez Cueto

  • Primary Care Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1184485575
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11029668 Issued in FL
Practice address
1813 NW 83Rd Dr
Coral Springs, FL 33071-6243
Phone
(954) 868-5554
NPI assigned
Jan 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN11029668 FL Primary

Addresses

Primary practice location

1813 NW 83Rd Dr
Coral Springs, FL 33071-6243

Mailing address

1813 NW 83Rd Dr
Coral Springs, FL 33071-6243
Phone (954) 868-5554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1401 SW 1 St
Suite 101
Miami, FL 33135

1813 NW 83 Dr
Coral Springs, FL 33071-6243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11029668FLMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1184485575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 NW 83RD DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716243",
            "telephone_number": "954-868-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 NW 83RD DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716243",
            "telephone_number": "954-868-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRIQUEZ CUETO",
        "first_name": "MARIA",
        "middle_name": "DE LAS MERCEDES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11029668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.