Individual provider Active NPI

Sulay Pereda Padilla

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1497466874
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F11220500 Issued in FL
Practice address
500 NW 40TH CT
Miami, FL 33126-5620
Phone
(786) 447-2638
NPI assigned
Dec 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11023193 FL
Family Nurse Practitioner 363LF0000X F11220500 FL Primary

Addresses

Primary practice location

500 NW 40TH CT
Miami, FL 33126-5620

Mailing address

500 NW 40TH CT
Miami, FL 33126-5620
Phone (786) 447-2638

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
I20260318003202 FL Practitioner - Nurse Practitioner 4688158553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13105 SW 39TH Ave Rd
Ocala, FL 34473-5263

500 NW 40TH CT
Miami, FL 33126-5620

705 E 26TH St
Hialeah, FL 33013-3823

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11023193FLMDFamily Nurse Practitioner
F11220500FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos Rodriguez Ortiz MD, PA CurrentSince Jan 27, 2026 Accepting new patients

Locations

705 E 26th St
Hialeah, FL 33013
Phone (305) 835-1551

11760 SW 40th St
Ste 642
Miami, FL 33175
Phone (305) 553-6744

3683 S Miami Ave
Ste 400
Miami, FL 33133
Phone (305) 200-3878

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": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1497466874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NW 40TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265620",
            "telephone_number": "786-447-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NW 40TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265620",
            "telephone_number": "786-447-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREDA PADILLA",
        "first_name": "SULAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11023193",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F11220500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.