Individual provider Active NPI

Tania Massiel Flores Espinoza

  • Acute Care Nurse Practitioner
  • Miami, FL
National Provider Identifier
1508633579
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11029857 Issued in FL
Practice address
3661 S Miami Ave
Miami, FL 33133-4236
Phone
(305) 856-8942
NPI assigned
Dec 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X 11029857 FL Primary

Addresses

Primary practice location

3661 S Miami Ave
Miami, FL 33133-4236

Mailing address

3661 S Miami Ave Ste 209
Miami, FL 33133-4233
Phone (305) 856-8942

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
I20250715001436 FL Practitioner - Nurse Practitioner 5991210379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Intellirad Imaging LLCGroup PAC ID 9739333790, 60 clinicians

Practice addresses (Care Compare)

301 NW 82 Ave
Plantation, FL 33324-1811
Phone (954) 693-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11029857FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intellirad Imaging, LLC Single Specialty CurrentSince Jul 1, 2025 Accepting new patients

Locations

3661 S Miami Ave
Ste 209
Miami, FL 33133
Phone (305) 856-8942

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

3661 S Miami Ave
Ste 1001
Miami, FL 33133
Phone (305) 858-2299

3661 S Miami Ave
Miami, FL 33133
Phone (305) 285-2977

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

301 NW 82nd Ave
Plantation, FL 33324
Phone (954) 424-1766

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": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1508633579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE STE 209",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334233",
            "telephone_number": "305-856-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334236",
            "telephone_number": "305-856-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES ESPINOZA",
        "first_name": "TANIA",
        "middle_name": "MASSIEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11029857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.