Active NPI
Maytek Medina
- Family Nurse Practitioner
- Miami, FL
National Provider Identifier
1528632320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F01210173
- Practice address
- 1521 SW 6TH St Apt 103
Miami, FL 33135-3750 - Phone
- (786) 366-5038
- NPI assigned
- May 17, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F01210173 | FL | Primary |
Addresses
Primary practice location
1521 SW 6TH St Apt 103
Miami, FL 33135-3750
Mailing address
1521 SW 6TH St Apt 103
Miami, FL 33135-3750
Phone (786) 366-5038
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F01210173 | Other | FL | AANP |
| RN9518840 | Other | FL | BOARD OF NURSING |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F01210173 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1528632320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 SW 6TH ST APT 103",
"city": "MIAMI",
"state": "FL",
"postal_code": "331353750",
"telephone_number": "786-366-5038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 SW 6TH ST APT 103",
"city": "MIAMI",
"state": "FL",
"postal_code": "331353750",
"telephone_number": "786-366-5038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "MAYTEK",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-17",
"last_updated": "2021-05-17",
"certification_date": "2021-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "F01210173",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANP",
"identifier": "F01210173",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF NURSING",
"identifier": "RN9518840",
"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 May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.