Individual provider Active NPI

Roberto Naranjo Arias

  • Family Nurse Practitioner
  • Medley, FL
National Provider Identifier
1225822596
Registry record updated Apr 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11038702 Issued in FL
Practice address
7911 NW 72ND Ave
Medley, FL 33166-2227
Phone
(305) 887-1005
NPI assigned
Apr 9, 2025
Last updated
Apr 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2025

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 11038702 FL Primary

Addresses

Primary practice location

7911 NW 72ND Ave
Medley, FL 33166-2227

Mailing address

9850 Hammocks Blvd Apt 106
Miami, FL 33196-1583
Phone (409) 332-2516

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
I20250428000049 FL Practitioner - Nurse Practitioner 1850817412 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11038702FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Esperanza Medical Centers Inc CurrentSince Apr 21, 2025 Accepting new patients

Locations

7911 NW 72nd Ave
Ste 109
Medley, FL 33166
Phone (305) 887-1005

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": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744416000000",
    "number": "1225822596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 HAMMOCKS BLVD APT 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961583",
            "telephone_number": "409-332-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7911 NW 72ND AVE",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331662227",
            "telephone_number": "305-887-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARANJO ARIAS",
        "first_name": "ROBERTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11038702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medley, FL

Sources for this page

Verify at the official NPI Registry.