Individual provider Active NPI

Wilfredo Ruben Batista, FNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1295409803
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11014365 Issued in FL
Practice address
14540 Buchanan St
Miami, FL 33176-7510
Phone
(786) 768-6023
Fax
(305) 969-2965
NPI assigned
Aug 6, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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 11014365 FL Primary

Addresses

Primary practice location

14540 Buchanan St
Miami, FL 33176-7510

Mailing address

14540 Buchanan St
Miami, FL 33176-7510
Phone (786) 768-6023

Other names 1

  • Wilfredo Ruben Batista Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11014365FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Health Services Corp CurrentSince Feb 10, 2025 Accepting new patients

Locations

9260 Sunset Dr
Ste 220
Miami, FL 33173
Phone (305) 279-2621

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": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1295409803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14540 BUCHANAN ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767510",
            "telephone_number": "786-768-6023",
            "fax_number": "305-969-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 BUCHANAN ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767510",
            "telephone_number": "786-768-6023",
            "fax_number": "305-969-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATISTA",
        "first_name": "WILFREDO",
        "middle_name": "RUBEN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11014365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILFREDO",
            "last_name": "BATISTA",
            "middle_name": "RUBEN",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.