Active NPI
Mario F Landera, ARNP
- Adult Health Nurse Practitioner
- Miami, FL
National Provider Identifier
1326169095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 1232072
- Practice address
- 13400 SW 120TH St Ste 300a
Miami, FL 33186 - Phone
- (305) 221-7235
- NPI assigned
- Apr 2, 2007
- Last updated
- Aug 4, 2018
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1232072 | FL | Primary |
Addresses
Primary practice location
13400 SW 120TH St Ste 300a
Miami, FL 33186
Mailing address
15032 SW 65TH Ter
Miami, FL 33193-2009
Phone (305) 246-6846
Other practice location 1
9760 SW 344th St
Homestead, FL 33035-1800
Phone (305) 246-6846
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1232072 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premise Health of Florida Medical PA | Past | Accepting new patients | |
| Hershman Medical Center, P.a. | Past | Accepting new patients | |
| Conviva Medical Center Management LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Conviva Care Center
- Internal Medicine Physician
- Miami, FL
- NPI 1649324278
-
- Family Medicine Physician
- Miami, FL
- NPI 1457361909
-
dba Turkey Point Health Center
- Primary Care Clinic/Center
- Homestead, FL
- NPI 1295039113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533340800000",
"number": "1326169095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15032 SW 65TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331932009",
"telephone_number": "305-246-6846",
"fax_number": "305-246-6963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13400 SW 120TH ST STE 300A",
"city": "MIAMI",
"state": "FL",
"postal_code": "33186",
"telephone_number": "305-221-7235"
}
],
"practiceLocations": [
{
"address_1": "9760 SW 344th St",
"address_purpose": "LOCATION",
"city": "Homestead",
"state": "FL",
"postal_code": "330351800",
"country_code": "US",
"telephone_number": "305-246-6846",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANDERA",
"first_name": "MARIO",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2018-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "1232072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.