Individual provider Active NPI

Camilo Andres Murillo, APRN, FNP-BC

  • Primary Care Nurse Practitioner
  • Miami, FL
National Provider Identifier
1245642180
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11010959 Issued in FL
Practice address
3436 SW 23Rd Ter
Miami, FL 33145-3023
Phone
(305) 871-9608
Fax
(305) 390-4659
NPI assigned
May 27, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN11010959 FL Primary
Licensed Practical Nurse 164W00000X PN5180825 FL

Addresses

Primary practice location

3436 SW 23Rd Ter
Miami, FL 33145-3023

Mailing address

3436 SW 23Rd Ter
Miami, FL 33145-3023
Phone (305) 812-2208

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

LicenseStateTypeSpecialty
PN5180825FLMDLicensed Practical Nurse
APRN11010959FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Direct Primary Care of Coconut Grove Primary Care CurrentSince Aug 15, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: camilo.murillo@341193651650564.direct.elationemr.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1245642180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 SW 23RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453023",
            "telephone_number": "305-812-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 SW 23RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453023",
            "telephone_number": "305-871-9608",
            "fax_number": "305-390-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURILLO",
        "first_name": "CAMILO",
        "middle_name": "ANDRES",
        "name_prefix": "Mr.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2021-08-04",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11010959",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5180825",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.