Active NPI
David Jose Trabanco, APRN, AGNP-C, FNP-C
- Adult Health Nurse Practitioner
- Miami, FL
National Provider Identifier
1497125520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN9337727
- Practice address
- 10771 SW 64TH St
Miami, FL 33173-2022 - Phone
- (305) 271-4700
- Fax
- (305) 553-5271
- NPI assigned
- Oct 1, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN9337727 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN9337727 | FL | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN9337727 | FL | |
| Primary Care Nurse Practitioner | 363LP2300X | APRN9337727 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN9337727 | FL | Primary |
Addresses
Primary practice location
10771 SW 64TH St
Miami, FL 33173-2022
Mailing address
10771 SW 64TH St
Miami, FL 33173-2022
Phone (305) 271-4700
Other practice location 1
3720 SW 107th Ave Ste 1
Miami, FL 33165-3639
Phone (305) 554-6565
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9337727 | FL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vega Health Center Inc | Current | Accepting new patients |
Locations
3720 SW 107th Ave
Ste 1
Miami, FL 33165
Phone (305) 554-6565
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.
-
- Internal Medicine Physician
- Miami, FL
- NPI 1306942594
-
- Internal Medicine Physician
- Miami, FL
- NPI 1114662137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1497125520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10771 SW 64TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331732022",
"telephone_number": "305-271-4700",
"fax_number": "305-553-5271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10771 SW 64TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331732022",
"telephone_number": "305-271-4700",
"fax_number": "305-553-5271"
}
],
"practiceLocations": [
{
"address_1": "3720 SW 107th Ave Ste 1",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331653639",
"country_code": "US",
"telephone_number": "305-554-6565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRABANCO",
"first_name": "DAVID",
"middle_name": "JOSE",
"name_prefix": "Mr.",
"credential": "APRN, AGNP-C, FNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-01",
"last_updated": "2021-12-28",
"certification_date": "2021-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN9337727",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9337727",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN9337727",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "APRN9337727",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN9337727",
"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 Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.