Individual provider Active NPI

Alexandra Castillo Matarranz, APRN

  • Acute Care Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1255069183
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11021027 Issued in FL
Practice address
1150 N 35TH Ave # 240
Hollywood, FL 33021-5424
Phone
(954) 362-3426
NPI assigned
Aug 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11021027 FL Primary

Addresses

Primary practice location

1150 N 35TH Ave # 240
Hollywood, FL 33021-5424

Mailing address

209 Mahogany Ter
Davie, FL 33325-6728

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
I20250122003715 FL Practitioner - Nurse Practitioner 7810426772 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11021027FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Luis F Tami PA CurrentSince Nov 18, 2024 Accepting new patients
Ravikanth Chiravuri MD PA PastSince Aug 14, 2022 Accepting new patients

Locations

1150 N 35th Ave
#240
Hollywood, FL 33021
Phone (954) 362-3426

1150 N 35th Ave
Ste 240
Hollywood, FL 33021
Phone (954) 362-3426

7777 Davie Road Ext
Ste 100B
Hollywood, FL 33024
Phone (954) 354-2600

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

Organizations & group practices 2

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": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1255069183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 MAHOGANY TER",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333256728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE # 240",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215424",
            "telephone_number": "954-362-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO MATARRANZ",
        "first_name": "ALEXANDRA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11021027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.