Andrea Vanegas Grillo, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11035284 Issued in FL

Practice address

4889 Lake Worth Rd Ste 109
Greenacres, FL 33463-3480

Phone

(617) 649-7532

Fax

(561) 649-7532

NPI assigned

Jan 1, 2025

Last updated

Jan 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1735689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735689600000",
    "number": "1417766734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9314 FOREST HILL BLVD # 124",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334116577",
            "telephone_number": "718-791-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4889 LAKE WORTH RD STE 109",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633480",
            "telephone_number": "617-649-7532",
            "fax_number": "561-649-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRILLO",
        "first_name": "ANDREA",
        "middle_name": "VANEGAS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-01",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11035284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greenacres Eye Associates PA
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• Greenacres Operator LLC
• Danielle L Greenfield, LCSW
• Guardian Angel's Home Health Services LLC
• Arletys Guerra
• Mouline Guerrier, ARNP
• Roseline Guerrier
• Mayra Guevara Salcedo

• Family Nurse Practitioner in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.