Individual provider Active NPI

Demis Javier Rey, ARNP

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1366984551
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9351637 Issued in FL
Practice address
900 W 49TH St Ste 450
Hialeah, FL 33012-3487
Phone
(305) 560-4995
NPI assigned
Nov 6, 2016
Last updated
Jul 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 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 ARNP9351637 FL Primary

Addresses

Primary practice location

900 W 49TH St Ste 450
Hialeah, FL 33012-3487

Mailing address

11461 SW 42ND Ter
Miami, FL 33165-4620
Phone (786) 439-5657

Other practice location 1

2450 SW 137th Ave Ste 232
Miami, FL 33175-6320
Phone (305) 560-4995

Other identifiers 1

IdentifierTypeStateIssuer
721059MedicaidFL

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
I20180918000194 FL Practitioner - Nurse Practitioner 7618228586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Criticare Clinics IncGroup PAC ID 7517966534, 104 clinicians

Practice addresses (Care Compare)

14701 NW 77TH Ave
Miami Lakes, FL 33014-2500
Phone (786) 662-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9351637FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Criticare Clinics Inc CurrentSince Aug 1, 2021 Accepting new patients
South Florida Wound and Ostomy Care PastSince Jan 19, 2025 Accepting new patients

Locations

4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050

14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833

15885 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 837-1300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1478390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1366984551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11461 SW 42ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654620",
            "telephone_number": "786-439-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 49TH ST STE 450",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123487",
            "telephone_number": "305-560-4995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 SW 137th Ave Ste 232",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331756320",
            "country_code": "US",
            "telephone_number": "305-560-4995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REY",
        "first_name": "DEMIS",
        "middle_name": "JAVIER",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-06",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9351637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "721059",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.