Individual provider Active NPI

Luis Joel Ravelo, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1386437028
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11039433 Issued in FL
Practice address
4960 SW 72ND Ave Ste 303
Miami, FL 33155-5550
Phone
(305) 591-1606
Fax
(305) 591-1618
NPI assigned
May 26, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2025

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 11039433 FL Primary

Addresses

Primary practice location

4960 SW 72ND Ave Ste 303
Miami, FL 33155-5550

Mailing address

11920 SW 184TH St
Miami, FL 33177-2462
Phone (786) 608-4955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11039433FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Opuscare of Florida LLC CurrentSince Jun 3, 2025 Accepting new patients

Locations

4960 SW 72nd Ave
Ste 303
Miami, FL 33155
Phone (305) 591-1606

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": "1748217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1386437028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11920 SW 184TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772462",
            "telephone_number": "786-608-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 SW 72ND AVE STE 303",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555550",
            "telephone_number": "305-591-1606",
            "fax_number": "305-591-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVELO",
        "first_name": "LUIS",
        "middle_name": "JOEL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-26",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11039433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.