Individual provider Active NPI

Eduardo Wilfredo Loredo, ARNP

  • Nurse Practitioner
  • Opa Locka, FL
National Provider Identifier
1295336337
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9262047 Issued in FL
Practice address
2930 NW 156TH St
Opa Locka, FL 33054-2226
Phone
(786) 521-0534
NPI assigned
Nov 5, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9262047 FL Primary

Addresses

Primary practice location

2930 NW 156TH St
Opa Locka, FL 33054-2226

Mailing address

2930 NW 156TH St
Opa Locka, FL 33054-2226
Phone (786) 521-0534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210331000670 FL Practitioner - Nurse Practitioner 8628485075
I20230629001468 FL Practitioner - Nurse Practitioner 8628485075 Reassigns benefits to 1 organization
Practice locations: Opa Locka, FL; Hialeah, FL; Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Opa Locka, FL 33054
Phone (786) 521-0534

1315 SE 9TH Ave
Hialeah, FL 33010-5907
Phone (786) 273-8975

Hospital & facility affiliations

  • Mount Auburn Home Health Home health agency, Doral, FL, CCN 107542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN9262047FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Loredo Medical Group LLC CurrentSince Jun 12, 2023 Accepting new patients

Locations

190 NE 191st St
North Miami Beach, FL 33179
Phone (305) 651-9690

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1295336337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 NW 156TH ST",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330542226",
            "telephone_number": "786-521-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 NW 156TH ST",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330542226",
            "telephone_number": "786-521-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOREDO",
        "first_name": "EDUARDO",
        "middle_name": "WILFREDO",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9262047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opa Locka, FL

Sources for this page

Verify at the official NPI Registry.