Individual provider Active NPI

Laura Bermudez

  • Medical Physician Assistant
  • Miami, FL
National Provider Identifier
1548062938
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
2822 SW 132ND PL
Miami, FL 33175-7115
Phone
(407) 556-7145
NPI assigned
Mar 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X FL Primary

Addresses

Primary practice location

2822 SW 132ND PL
Miami, FL 33175-7115

Mailing address

2822 SW 132ND PL
Miami, FL 33175-7115
Phone (407) 556-7145

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
I20251223004329 FL Practitioner - Physician Assistant 8123513496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2822 SW 132ND PL
Miami, FL 33175-7115

6100 Waterford District Dr
Suite 450
Miami, FL 33126-4692

9299 Coral Reef Dr
Suite 203
Palmetto Bay, FL 33157-1769

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prager Simon & Associates LLP CurrentSince Oct 17, 2025 Accepting new patients
Professional Healthcare Associates LLC Past Accepting new patients

Locations

9299 SW 152nd St
Ste 203
Palmetto Bay, FL 33157
Phone (305) 234-9180

75 Remittance Dr
Dept 6997
Chicago, IL 60675

Organizations & group practices 2

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": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1548062938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2822 SW 132ND PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757115",
            "telephone_number": "407-556-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 SW 132ND PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757115",
            "telephone_number": "407-556-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMUDEZ",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.