Individual provider Active NPI

Ismaray Valdes Navarro

  • Family Nurse Practitioner
  • Homestead, FL
National Provider Identifier
1396502019
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11031276 Issued in FL
Practice address
12545 SW 259TH St
Homestead, FL 33032-1207
Phone
(786) 781-8602
NPI assigned
Feb 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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 11031276 FL Primary

Addresses

Primary practice location

12545 SW 259TH St
Homestead, FL 33032-1207

Mailing address

12545 SW 259TH St
Homestead, FL 33032-1207
Phone (786) 781-8602

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
I20260206000995 FL Practitioner - Nurse Practitioner 2163901513 Practice locations: Homestead, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Homestead, FL 33032
Phone (786) 781-8602

7990 SW 117TH Ave
Suite 109
Miami, FL 33183-3845

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11031276FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valdes Health Care Center LLC Family PastSince Mar 3, 2024 Accepting new patients

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": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1396502019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12545 SW 259TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330321207",
            "telephone_number": "786-781-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12545 SW 259TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330321207",
            "telephone_number": "786-781-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES NAVARRO",
        "first_name": "ISMARAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11031276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.