Individual provider Active NPI

Maikel Matos Garces, ARNP

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1336913565
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11029584 Issued in FL
Practice address
651 E 25TH St
Hialeah, FL 33013-3814
Phone
(786) 804-3357
NPI assigned
Nov 8, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN11029584 FL Primary

Addresses

Primary practice location

651 E 25TH St
Hialeah, FL 33013-3814

Mailing address

1098 W 64TH PL
Hialeah, FL 33012-6455
Phone (786) 474-8880

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
I20231207001371 FL Practitioner - Nurse Practitioner 8527417294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amnerys R Garcia MD PAGroup PAC ID 3971842790, 3 clinicians

Practice addresses (Care Compare)

700 E 25TH St
Hialeah, FL 33013-3817
Phone (786) 804-3357

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11029584FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amnerys R Garcia MD PA Single Specialty CurrentSince Nov 15, 2023 Accepting new patients

Locations

700 E 25th St
Hialeah, FL 33013
Phone (786) 804-3357

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": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1336913565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 W 64TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126455",
            "telephone_number": "786-474-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 E 25TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133814",
            "telephone_number": "786-804-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS GARCES",
        "first_name": "MAIKEL",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.