Individual provider Active NPI

Justina Palacios Reyes, APRNCB

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1285277996
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10190681 Issued in FL
Practice address
6963 W 5TH CT
Hialeah, FL 33014-4944
Phone
(786) 250-7894
NPI assigned
Oct 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F10190681 FL Primary

Addresses

Primary practice location

6963 W 5TH CT
Hialeah, FL 33014-4944

Mailing address

6963 W 5TH CT
Hialeah, FL 33014-4944
Phone (786) 250-7894

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
I20220427003308 FL Practitioner - Nurse Practitioner 9830586544 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F10190681FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medivital Health Center LLC CurrentSince Apr 27, 2025 Accepting new patients
Justina Palacios Reyes PA CurrentSince Mar 31, 2024 Accepting new patients
Context Medical Group, Inc. CurrentSince May 1, 2022 Accepting new patients

Locations

10550 NW 77th Ct
Ste 305
Hialeah Gardens, FL 33016
Phone (305) 826-3072

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.

NPI Registry JSON

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1285277996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6963 W 5TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144944",
            "telephone_number": "786-250-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6963 W 5TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144944",
            "telephone_number": "786-250-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIOS REYES",
        "first_name": "JUSTINA",
        "credential": "APRNCB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F10190681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.