Active NPI
Rene Sifontes Mejias
- Family Nurse Practitioner
- Homestead, FL
National Provider Identifier
1295134591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11008710
- Practice address
- 25001 SW 127TH Ave Ste 202
Homestead, FL 33032-5834 - Phone
- (786) 339-9844
- NPI assigned
- Aug 22, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11008710 | FL | Primary |
Addresses
Primary practice location
25001 SW 127TH Ave Ste 202
Homestead, FL 33032-5834
Mailing address
8871 Fontainebleau Blvd Apt 204
Miami, FL 33172-4447
Phone (786) 317-7495
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primenet Medical Group Inc | Current | Accepting new patients | |
| Olivos Medical Center and Spa, LLC | Current | Accepting new patients |
Locations
25001 SW 127th Ave
Ste 202
Homestead, FL 33032
Phone (786) 317-7495
7189 Pembroke Rd
Pembroke Pines, FL 33023
Phone (954) 983-1220
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BBHEDD/Endpoint/BBHEDD
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.
-
- Family Medicine Physician
- Homestead, FL
- NPI 1336912633
-
- Family Medicine Physician
- Pembroke Pines, FL
- NPI 1427014158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1295134591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8871 FONTAINEBLEAU BLVD APT 204",
"city": "MIAMI",
"state": "FL",
"postal_code": "331724447",
"telephone_number": "786-317-7495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25001 SW 127TH AVE STE 202",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330325834",
"telephone_number": "786-339-9844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIFONTES MEJIAS",
"first_name": "RENE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-22",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11008710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.