Individual provider Active NPI

Julina Tillus Dorval, ARNP

  • Primary Care Clinic/Center
  • Miami Shores, FL
National Provider Identifier
1386918217
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Feb 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121003000835 FL Practitioner - Nurse Practitioner 7214186436 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Community Center LLC Family CurrentSince Nov 4, 2014 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.