Individual provider Active NPI

Liliana Martinez Jaen, APRN, FNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1588433767
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11030101 Issued in FL
Practice address
9272 SW 171St CT
Miami, FL 33196-2950
Phone
(786) 720-1589
NPI assigned
Dec 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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 11030101 FL Primary

Addresses

Primary practice location

9272 SW 171St CT
Miami, FL 33196-2950

Mailing address

9272 SW 171St CT
Miami, FL 33196-2950
Phone (786) 720-1589

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
I20240423000777 FL Practitioner - Nurse Practitioner 5092154179 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

701 N Federal Hwy
Suite 601
Hallandale Beach, FL 33009-2449
Phone (954) 482-4747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11030101FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bhmat Consulting LLC CurrentSince Dec 17, 2025 Accepting new patients
Intensive Care Experts Health Network LLC CurrentSince Mar 13, 2024 Accepting new patients
Intensive Care Experts Health Network LLC CurrentSince Mar 13, 2024 Accepting new patients

Locations

701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195

1859 Van Buren St
Hollywood, FL 33020
Phone (954) 920-0900

2999 NE 191st St
Ste 300
Miami, FL 33180
Phone (305) 933-3170

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1588433767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9272 SW 171ST CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962950",
            "telephone_number": "786-720-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9272 SW 171ST CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962950",
            "telephone_number": "786-720-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ JAEN",
        "first_name": "LILIANA",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.