Individual provider Active NPI

Miriam Isabel Guerra Otero, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1558729970
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9387139 Issued in FL
Practice address
5901 SW 74TH St Ste 205
Miami, FL 33143-5150
Phone
(305) 666-8691
NPI assigned
Jan 29, 2016
Last updated
Apr 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9387139 FL Primary

Addresses

Primary practice location

5901 SW 74TH St Ste 205
Miami, FL 33143-5150

Mailing address

14750 NW 77TH CT Ste 100
Miami Lakes, FL 33016-1507
Phone (786) 485-1005

Other practice location 1

9635 SW 181st Ter
Palmetto Bay, FL 33157-5630
Phone (305) 238-8561

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
I20180226002323 FL Practitioner - Nurse Practitioner 6507127040 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Claremedica Viking LLCGroup PAC ID 4789112301, 75 clinicians
South Dade Primary Care LLCGroup PAC ID 6002835360, 24 clinicians

Practice addresses (Care Compare)

9835 E Hibiscus St
Palmetto Bay, FL 33157-5406
Phone (305) 238-8561

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Dade Primary Care, LLC CurrentSince Apr 17, 2019 Accepting new patients
South Dade Primary Care, LLC CurrentSince Jan 5, 2020 Accepting new patients
Claremedica Viking LLC CurrentSince Jul 1, 2025 Accepting new patients
Joseph Thevenin Jr, MD PA Past Accepting new patients
Senior Medical Associates LLC Past Accepting new patients

Locations

27455 S Dixie Hwy
Unit 1
Homestead, FL 33032
Phone (305) 245-3247

1000 NW 57th Ct
Ste 400
Miami, FL 33126

14750 NW 77th Ct
Ste 100
Miami Lakes, FL 33016
Phone (786) 485-1005

3345 Burns Rd
Ste 302
Palm Beach Gardens, FL 33410
Phone (561) 622-4047

9635 SW 181st Ter
Palmetto Bay, FL 33157
Phone (305) 238-8561

9835 E Hibiscus St
Palmetto Bay, FL 33157
Phone (305) 238-8561

5901 SW 74th St
Ste 205
South Miami, FL 33143
Phone (305) 666-8691

7540 SW 61st Ave
South Miami, FL 33143
Phone (305) 666-5052

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15805/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1558729970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 NW 77TH CT STE 100",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161507",
            "telephone_number": "786-485-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 SW 74TH ST STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331435150",
            "telephone_number": "305-666-8691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9635 SW 181st Ter",
            "address_purpose": "LOCATION",
            "city": "Palmetto Bay",
            "state": "FL",
            "postal_code": "331575630",
            "country_code": "US",
            "telephone_number": "305-238-8561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRA OTERO",
        "first_name": "MIRIAM",
        "middle_name": "ISABEL",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9387139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.