Individual provider Active NPI

Jesus Yaniel Becerra Losada, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1306454038
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11008189 Issued in FL
Practice address
909 NW 45TH Ave Apt 113
Miami, FL 33126-2450
Phone
(786) 316-2497
NPI assigned
Jul 20, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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 11008189 FL Primary

Addresses

Primary practice location

909 NW 45TH Ave Apt 113
Miami, FL 33126-2450

Mailing address

909 NW 45TH Ave Apt 113
Miami, FL 33126-2450
Phone (786) 316-2497

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
I20200824002721 FL Practitioner - Nurse Practitioner 7315364247 Practice locations: Miami, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11008189FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1306454038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 NW 45TH AVE APT 113",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262450",
            "telephone_number": "786-316-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 NW 45TH AVE APT 113",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262450",
            "telephone_number": "786-316-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECERRA LOSADA",
        "first_name": "JESUS",
        "middle_name": "YANIEL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11008189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.