Individual provider Active NPI

Iraida Guzman Batista

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1386170249
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11022457 Issued in FL
Practice address
2450 SW 137TH Ave
Miami, FL 33175-8802
Phone
(305) 575-3800
Fax
(305) 381-5420
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9525059 FL
Behavior Technician 106S00000X
Family Nurse Practitioner 363LF0000X APRN11022457 FL Primary

Addresses

Primary practice location

2450 SW 137TH Ave
Miami, FL 33175-8802

Mailing address

2450 SW 137TH Ave Ste 234
Miami, FL 33175-6333
Phone (305) 381-5420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241218003988 FL Practitioner - Nurse Practitioner 5092242768 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9525059FLMDRegistered Nurse
APRN11022457FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Med-Well Healthcare Specialists Inc CurrentSince Nov 1, 2024 Accepting new patients
Florida Department of Health PastSince Nov 1, 2021 Accepting new patients
Florida Department of Health PastSince Nov 1, 2021 Accepting new patients

Locations

2450 SW 137th Ave
Ste 206
Miami, FL 33175
Phone (305) 381-5420

2450 SW 137th Ave
Ste 234
Miami, FL 33175
Phone (305) 228-4020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1386170249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 SW 137TH AVE STE 234",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756333",
            "telephone_number": "305-381-5420",
            "fax_number": "305-381-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 SW 137TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331758802",
            "telephone_number": "305-575-3800",
            "fax_number": "305-381-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN BATISTA",
        "first_name": "IRAIDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9525059",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11022457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.