Individual provider Active NPI

Yanio Brunely Morales

  • Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1295320638
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11026549 Issued in FL
Practice address
13631 SW 17TH CT
Miramar, FL 33027-6469
Phone
(786) 667-0008
NPI assigned
Mar 8, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9357422 FL
Nurse Practitioner 363L00000X APRN11026549 FL Primary

Addresses

Primary practice location

13631 SW 17TH CT
Miramar, FL 33027-6469

Mailing address

13631 SW 17TH CT
Miramar, FL 33027-3449
Phone (786) 667-0008

Other identifiers 1

IdentifierTypeStateIssuer
APRN11026549OtherFLDEPARTAMENT OF HEALTH

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
RN9357422FLMDRegistered Nurse
APRN11026549FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brunely Medical Services LLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

5555 Hollywood Blvd
Ste 301
Hollywood, FL 33021
Phone (786) 667-0008

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": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1295320638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13631 SW 17TH CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273449",
            "telephone_number": "786-667-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13631 SW 17TH CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276469",
            "telephone_number": "786-667-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNELY MORALES",
        "first_name": "YANIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-08",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9357422",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11026549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTAMENT OF HEALTH",
            "identifier": "APRN11026549",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.