Individual provider Active NPI

Maria Mislaine Aleman Mederos

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1417720004
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11021093 Issued in FL
Practice address
7360 Coral Way Ste 16
Miami, FL 33155-1482
Phone
(305) 456-0852
Fax
(305) 419-4941
NPI assigned
Nov 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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 APRN11021093 FL Primary

Addresses

Primary practice location

7360 Coral Way Ste 16
Miami, FL 33155-1482

Mailing address

7360 Coral Way Ste 16
Miami, FL 33155-1482
Phone (305) 456-0852

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
APRN11021093FLMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1417720004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7360 CORAL WAY STE 16",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551482",
            "telephone_number": "305-456-0852",
            "fax_number": "305-419-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7360 CORAL WAY STE 16",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551482",
            "telephone_number": "305-456-0852",
            "fax_number": "305-419-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEMAN MEDEROS",
        "first_name": "MARIA",
        "middle_name": "MISLAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11021093",
            "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 Nov 6, 2023; 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.