Yenma Milagro Vidal

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11018570 Issued in FL

Practice address

9502 SW 140TH CT
Miami, FL 33186-1283

Phone

(786) 593-8296

NPI assigned

Oct 3, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wayne H Case MD PAGroup PAC ID 5092616094, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Wayne H Case MD PA

  • Family Medicine Physician
  • Hialeah, FL
  • NPI 1609813310
  Medicare reassignment Care Compare group NPD
• Family Medical Centre

  • Family Medicine Physician
  • Doral, FL
  • NPI 1316371636
  NPD (past)
• Wayne H Case MD PA

  • Family Medicine Physician
  • Pembroke Pines, FL
  • NPI 1992812994
  NPD (past)

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657324800000",
    "number": "1588205355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9502 SW 140TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861283",
            "telephone_number": "786-593-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9502 SW 140TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861283",
            "telephone_number": "786-593-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "YENMA",
        "middle_name": "MILAGRO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2022-07-09",
        "certification_date": "2022-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-77231",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11018570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RBT-19-77231",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Cecilia Vidal, DDS
• Michael Angelo Vidal
• Reinaldo Vidal, HSE 8603
• Stella Vidal
• Yanitza Vidal
• Vidalife Medical Service Center Corp
• Vidalux Mind and Wellness Group LLC
• Vidamer Health Inc
• Marcia Vidan, M.D.
• Vidanova Medical Group, LLC

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2022; 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.

Verify at the official NPI Registry.