Active NPI
Julina Tillus Dorval, ARNP
- Primary Care Clinic/Center
- Miami Shores, FL
National Provider Identifier
1386918217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Practice address
- 9999 NE 2ND Ave Ste 214
Miami Shores, FL 33138-2345 - Phone
- (305) 756-9392
- Fax
- (305) 756-9392
- NPI assigned
- Feb 23, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| Family Nurse Practitioner | 363LF0000X | ARNP3078052 | FL |
Addresses
Primary practice location
9999 NE 2ND Ave Ste 214
Miami Shores, FL 33138-2345
Mailing address
5260 SW 131St Ter
Miramar, FL 33027-5415
Phone (305) 627-3828
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Community Center LLC | Family | Current | Accepting new patients |
| Nangi Shores Medical Group | Past | Accepting new patients |
Locations
5932 NE 2nd Ave
Miami, FL 33137
Phone (786) 546-5129
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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 and National Provider Directory roles.
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1457760712
-
- Community Health Worker
- Miami Shores, FL
- NPI 1063769412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329955200000",
"number": "1386918217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5260 SW 131ST TER",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330275415",
"telephone_number": "305-627-3828",
"fax_number": "305-756-9392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9999 NE 2ND AVE STE 214",
"city": "MIAMI SHORES",
"state": "FL",
"postal_code": "331382345",
"telephone_number": "305-756-9392",
"fax_number": "305-756-9392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORVAL",
"first_name": "JULINA",
"middle_name": "TILLUS",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-23",
"last_updated": "2012-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP3078052",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Shores, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.