Individual provider Active NPI

Indira Cerra Villalobos, APRN

  • Family Nurse Practitioner
  • Miami Lakes, FL
National Provider Identifier
1497489090
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11020704 Issued in FL
Practice address
5801 Miami Lakes Dr E
Miami Lakes, FL 33014-2401
Phone
(305) 821-9115
Fax
(305) 821-9150
NPI assigned
Jul 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11020704 FL Primary

Addresses

Primary practice location

5801 Miami Lakes Dr E
Miami Lakes, FL 33014-2401

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address indira.cerra.villalobos.1@29601.direct.athenahealth.com Direct

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
I20220826003049 FL Practitioner - Nurse Practitioner 8224412093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

10401 SW 40TH St
Miami, FL 33165-3745
Phone (305) 222-2000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Beach Medical Consultants, LLC. CurrentSince May 1, 2023 Accepting new patients
Conviva Medical Center Management LLC CurrentSince Dec 12, 2024 Accepting new patients

Locations

7291 Atlantic Ave
#48
Delray Beach, FL 33446
Phone (561) 344-1130

4980 W 10th Ave
Hialeah, FL 33012
Phone (305) 556-0866

440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000

2417 US Highway 98 N
Lakeland, FL 33805
Phone (863) 821-0030

10401 SW 40th St
Miami, FL 33165
Phone (305) 221-9657

7500 SW 8th St
Ste 400
Miami, FL 33144

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

1200 Alton Rd
Miami Beach, FL 33139
Phone (305) 534-3242

5801 Miami Lakes Dr E
Miami Lakes, FL 33014
Phone (305) 821-9115

1400 NW 107th Ave
Ste 500
Sweetwater, FL 33172
Phone (786) 534-4285

Interoperability endpoints

  • Direct secure messaging: indira.cerra.villalobos.1@29601.direct.athenahealth.com

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": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1497489090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 MIAMI LAKES DR E",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142401",
            "telephone_number": "305-821-9115",
            "fax_number": "305-821-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERRA VILLALOBOS",
        "first_name": "INDIRA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11020704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "indira.cerra.villalobos.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5801 Miami Lakes Dr E",
            "city": "Miami Lakes",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330142401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.