Individual provider Active NPI

Elizabeth Montes de Oca, APRN

  • Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1386409829
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11031072 Issued in FL
Practice address
8512 Windsor Dr
Miramar, FL 33025-2845
Phone
(786) 285-2632
NPI assigned
Feb 14, 2024
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11031072 FL Primary

Addresses

Primary practice location

8512 Windsor Dr
Miramar, FL 33025-2845

Mailing address

8512 Windsor Dr
Miramar, FL 33025-2845
Phone (786) 285-2632

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
I20240501000233 FL Practitioner - Nurse Practitioner 0244670701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9900 Stirling Rd
Suite 102
Hollywood, FL 33024-8043

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11031072FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Care Agency CurrentSince Jun 2, 2024 Accepting new patients
Mark Jaffe M D P a CurrentSince Jan 1, 2026 Accepting new patients
Advantage Meals LLC PastSince Feb 18, 2024 Accepting new patients

Locations

9900 Stirling Rd
Ste 102
Hollywood, FL 33024
Phone (954) 322-3603

Interoperability endpoints

  • Direct secure messaging: elizabeth.montesdeoca.p59@direct.aara1.nextgenshare.com

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.

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": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1386409829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8512 WINDSOR DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252845",
            "telephone_number": "786-285-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8512 WINDSOR DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252845",
            "telephone_number": "786-285-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTES DE OCA",
        "first_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11031072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.