Active NPI
Noelvis Santana Estevez
- Family Nurse Practitioner
- Hialeah, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F11240218
- Practice address
- 496 W 45TH PL
Hialeah, FL 33012-3861 - Phone
- (305) 457-7773
- NPI assigned
- Jul 11, 2020
- Last updated
- Oct 15, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CBHCMS.0101007 | FL | MD | Case Manager/Care Coordinator |
| F11240218 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Medical Research LLC | Current | Accepting new patients | |
| Quality of Life Servicing Corp | Past | Accepting new patients |
Locations
4101 Ravenswood Rd
Ste 202
Fort Lauderdale, FL 33312
Phone (954) 251-3454
Interoperability endpoints
- 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.
-
dba Blue Pearl Wellness
- Research Clinic/Center
- Fort Lauderdale, FL
- NPI 1407596810
-
- Case Management Agency
- Doral, FL
- NPI 1770256034
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Lauderdale, FL
- NPI 1235697830
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.