Individual provider Active NPI

Yenima Bernal Moro, NP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1508469636
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11009557 Issued in FL
Practice address
9732 SW 24TH St
Miami, FL 33165-7513
Phone
(305) 221-0660
Fax
(305) 221-0696
NPI assigned
Nov 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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 APRN11009557 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11009557 FL

Addresses

Primary practice location

9732 SW 24TH St
Miami, FL 33165-7513

Mailing address

14754 SW 173Rd Ter
Miami, FL 33187-1799
Phone (786) 525-4138

Other practice location 1

14754 SW 173rd Ter
Miami, FL 33187-1799
Phone (786) 525-4138

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
I20201125001289 FL Practitioner - Nurse Practitioner 6406267392 Reassigns benefits to 3 organizations
Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med-Care Medical Center IncGroup PAC ID 0941108674, 5 clinicians

Practice addresses (Care Compare)

1701 W Flagler St
Suite 322
Miami, FL 33135-2271
Phone (305) 910-3302

9732 SW 24TH St
Miami, FL 33165-7513
Phone (305) 221-0660

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11009557FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Solutions Agency, LLC CurrentSince Nov 2, 2025 Accepting new patients
Bernal Wellness Psychiatric/Mental Health CurrentSince Dec 21, 2025 Accepting new patients
Professional Nursing and Health Care Center Corp Current Accepting new patients
Med-Care Medical Center Inc CurrentSince Aug 18, 2025 Accepting new patients
R Management Services Corp CurrentSince Jul 30, 2025 Accepting new patients

Locations

1701 W Flagler St
Ste 322
Miami, FL 33135
Phone (305) 910-3302

9732 SW 24th St
Miami, FL 33165
Phone (305) 221-0660

5757 Waterford District Dr
Ste 172
Miami, FL 33126
Phone (786) 353-2616

Organizations & group practices 5

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": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1508469636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14754 SW 173RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331871799",
            "telephone_number": "786-525-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9732 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657513",
            "telephone_number": "305-221-0660",
            "fax_number": "305-221-0696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14754 SW 173rd Ter",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331871799",
            "country_code": "US",
            "telephone_number": "786-525-4138",
            "fax_number": "786-422-0456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNAL MORO",
        "first_name": "YENIMA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11009557",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11009557",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.