Active NPI
Keesha Pacheco, APRN
- Family Medicine Physician
- Cutler Bay, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2023063441
- Practice address
- 20850 SW 90TH PL Bay 33189
Cutler Bay, FL 33189-3919 - Phone
- (130) 549-4871
- NPI assigned
- Feb 1, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2023063441 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | APRN11028805 | FL |
Addresses
Primary practice location
20850 SW 90TH PL Bay 33189
Cutler Bay, FL 33189-3919
Mailing address
20850 SW 90TH PL Bay 33189
Cutler Bay, FL 33189-3919
Phone (130) 549-4871
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7031 SW 62 Ave
South Miami, FL 33143-4701
Phone (305) 284-7500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023063441 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victor Lopez de Mendoza, MD PLLC | Current | Accepting new patients |
Locations
3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131
3661 S Miami Ave
Ste 901
Miami, FL 33133
Phone (305) 856-5057
7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585
Organizations & group practices 3
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.
-
- Nephrology Physician
- Miami, FL
- NPI 1558660167
-
- General Practice Physician
- Miami, FL
- NPI 1134384423
-
- General Acute Care Hospital
- Miami, FL
- NPI 1225033020
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plantation, FL
- NPI 1144274317
-
- General Acute Care Hospital
- Miami, FL
- NPI 1023387479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1245093392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20850 SW 90TH PL BAY 33189",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331893919",
"telephone_number": "130-549-4871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20850 SW 90TH PL BAY 33189",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331893919",
"telephone_number": "130-549-4871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO",
"first_name": "KEESHA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-01",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "2023063441",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11028805",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cutler Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.