Active NPI
Sulay Pereda Padilla
- Family Nurse Practitioner
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F11220500
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11023193 | FL | MD | Family Nurse Practitioner |
| F11220500 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlos Rodriguez Ortiz MD, PA | Current | 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.
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- NPI 1982116877
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.