Individual provider Active NPI

Nataly Ruiz, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1457175259
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11036453 Issued in FL
Practice address
12864 SW 229TH Ter
Miami, FL 33170-2768
Phone
(305) 282-6191
NPI assigned
Nov 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 11036453 FL Primary

Addresses

Primary practice location

12864 SW 229TH Ter
Miami, FL 33170-2768

Mailing address

12864 SW 229TH Ter
Miami, FL 33170-2768
Phone (305) 282-6191

Other practice location 1

13195 SW 134th St Ste 102
Miami, FL 33186-4585
Phone (305) 964-5236

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
I20250307001273 FL Practitioner - Nurse Practitioner 7911428891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Care South Florida LLCGroup PAC ID 9537513072, 3 clinicians

Practice addresses (Care Compare)

13195 SW 134TH St
Suite 102
Miami, FL 33186-4585
Phone (305) 934-0445

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11036453FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Care South Florida LLC Single Specialty CurrentSince Mar 3, 2025 Accepting new patients
Advanced Care South Florida LLC PastSince Mar 3, 2025 Accepting new patients

Locations

13195 SW 134th St
Ste 102
Miami, FL 33186
Phone (305) 934-0445

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": "1731110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1457175259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12864 SW 229TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331702768",
            "telephone_number": "305-282-6191",
            "fax_number": "305-964-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12864 SW 229TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331702768",
            "telephone_number": "305-282-6191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13195 SW 134th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331864585",
            "country_code": "US",
            "telephone_number": "305-964-5236",
            "fax_number": "305-964-5249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "NATALY",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-09",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11036453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.