Individual provider Active NPI

Isabel Y Merida Fuentes, APRN

  • Family Nurse Practitioner
  • Coral Gables, FL
National Provider Identifier
1346834017
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11011484 Issued in FL
Practice address
2020 Ponce de Leon Blvd Ste 103
Coral Gables, FL 33134-4475
Phone
(786) 808-8555
Fax
(305) 982-8798
NPI assigned
Feb 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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 APRN11011484 FL Primary

Addresses

Primary practice location

2020 Ponce de Leon Blvd Ste 103
Coral Gables, FL 33134-4475

Mailing address

2020 Ponce de Leon Blvd Ste 103
Coral Gables, FL 33134-4475
Phone (786) 808-8555

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
I20220107001930 FL Practitioner - Nurse Practitioner 9436541133 Reassigns benefits to 1 organization
Practice locations: 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
Group practices
Matmed LLCGroup PAC ID 5193052249, 13 clinicians

Practice addresses (Care Compare)

2020 Ponce de Leon Blvd
Suite 103
Coral Gables, FL 33134-4475
Phone (786) 808-8555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Matmed LLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

2020 Ponce de Leon Blvd
Ste 103
Coral Gables, FL 33134
Phone (305) 224-8850

8501 SW 124th Ave
Ste 110
Miami, FL 33183
Phone (786) 808-8555

7791 NW 146th St
Miami Lakes, FL 33016
Phone (786) 808-8555

Interoperability endpoints

  • Direct secure messaging: isabel.merida.p1@direct.caremax.nextgenshare.com

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": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1346834017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 PONCE DE LEON BLVD STE 103",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344475",
            "telephone_number": "786-808-8555",
            "fax_number": "305-982-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 PONCE DE LEON BLVD STE 103",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344475",
            "telephone_number": "786-808-8555",
            "fax_number": "305-982-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERIDA FUENTES",
        "first_name": "ISABEL",
        "middle_name": "Y",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11011484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.