Kerenia Carbonell Vico, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11014413 Issued in FL

Practice address

11389 W Flagler St
Miami, FL 33174-1185

Phone

(786) 886-3400

Fax

(786) 886-3401

NPI assigned

Aug 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Simply Home Care of Broward, Inc

  dba Simply Home Care

  • Home Health Agency
  • Miramar, FL
  • NPI 1467223776

  Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Zion Health Care LLC

  • Family Medicine Physician
  • Hialeah, FL
  • NPI 1023398310
  Medicare reassignment NPD
• Zion Health Care LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1164877833
  NPD
• My Home Doctor, LLC

  • Attendant Care Provider
  • Coral Gables, FL
  • NPI 1902099104

  Family Medicine

  NPD (past)
• Simply Home Care of Broward, Inc

  dba Simply Home Care

  • Home Health Agency
  • Miramar, FL
  • NPI 1467223776
  NPD (past)

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

{
    "created_epoch": "1628899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1235804899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13042 SW 88TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861629",
            "telephone_number": "305-780-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11389 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741185",
            "telephone_number": "786-886-3400",
            "fax_number": "786-886-3401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13042 SW 88th Ln",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331861629",
            "country_code": "US",
            "telephone_number": "305-780-9691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARBONELL VICO",
        "first_name": "KERENIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-14",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11014413",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11014413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lidice Carbonel, PTA
• Jose Manuel Carbonell Lago
• Kenia Carbonell Muria
• Ana Emilia Carbonell Rondon, BCBA
• Albert Danel Carbonell Silvera
• Alexis Carbonell
• Betsy Marie Carbonell, PHARMD
• Daniela Carbonell
• Gretel Carbonell, SLP ASST.
• Laura Carbonell

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.