Active NPI
Dyanna Aguilar
- Family Nurse Practitioner
- Pembroke Pines, FL
National Provider Identifier
1235753971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11005218
- Practice address
- 19103 NW 12TH CT
Pembroke Pines, FL 33029-2960 - Phone
- (305) 989-5063
- NPI assigned
- May 28, 2020
- Last updated
- May 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11005218 | FL | Primary |
Addresses
Primary practice location
19103 NW 12TH CT
Pembroke Pines, FL 33029-2960
Mailing address
19103 NW 12TH CT
Pembroke Pines, FL 33029-2960
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11005218 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590624000000",
"number": "1235753971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19103 NW 12TH CT",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330292960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19103 NW 12TH CT",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330292960",
"telephone_number": "305-989-5063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUILAR",
"first_name": "DYANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-28",
"last_updated": "2020-05-28",
"certification_date": "2020-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11005218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.