Individual provider Active NPI

Marisol Ponte Paredes, ADMINISTRATOR

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1508790791
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
10575 Issued in FL
Practice address
5143 SW 157TH CT
Miami, FL 33185-5017
Phone
(786) 340-7284
Fax
(305) 482-6977
NPI assigned
Jun 11, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 10575 FL Primary

Addresses

Primary practice location

5143 SW 157TH CT
Miami, FL 33185-5017

Mailing address

5143 SW 157TH CT
Miami, FL 33185-5017
Phone (786) 340-7284

Other identifiers 1

IdentifierTypeStateIssuer
103802100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1508790791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5143 SW 157TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855017",
            "telephone_number": "786-340-7284",
            "fax_number": "305-482-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5143 SW 157TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855017",
            "telephone_number": "786-340-7284",
            "fax_number": "305-482-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTE PAREDES",
        "first_name": "MARISOL",
        "credential": "ADMINISTRATOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "10575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103802100",
            "state": "FL"
        }
    ],
    "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 Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.