Individual provider Active NPI

Noelvis Santana Estevez

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1528686904
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F11240218 Issued in FL
Practice address
496 W 45TH PL
Hialeah, FL 33012-3861
Phone
(305) 457-7773
NPI assigned
Jul 11, 2020
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 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 F11240218 FL Primary
Case Manager/Care Coordinator 171M00000X CBHCMS.0101007 FL

Addresses

Primary practice location

496 W 45TH PL
Hialeah, FL 33012-3861

Mailing address

496 W 45TH PL
Hialeah, FL 33012-3861
Phone (305) 457-7773

Other practice location 1

4101 Ravenswood Rd Ste 202
Fort Lauderdale, FL 33312-5301
Phone (954) 251-3454

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
I20251015004583 FL Practitioner - Nurse Practitioner 3779070453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Medical Research LLCGroup PAC ID 1153791405, 3 clinicians

Practice addresses (Care Compare)

4101 Ravenswood Rd
Suite 202
Fort Lauderdale, FL 33312-5301
Phone (954) 251-3454

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CBHCMS.0101007FLMDCase Manager/Care Coordinator
F11240218FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Medical Research LLC CurrentSince Sep 1, 2025 Accepting new patients
Quality of Life Servicing Corp PastSince Oct 1, 2020 Accepting new patients

Locations

4101 Ravenswood Rd
Ste 202
Fort Lauderdale, FL 33312
Phone (954) 251-3454

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEBAED

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1594425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1528686904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 W 45TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123861",
            "telephone_number": "305-457-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 W 45TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123861",
            "telephone_number": "305-457-7773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4101 Ravenswood Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333125301",
            "country_code": "US",
            "telephone_number": "954-251-3454",
            "fax_number": "954-251-3474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTANA ESTEVEZ",
        "first_name": "NOELVIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-11",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F11240218",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "CBHCMS.0101007",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.