Individual provider Active NPI

Jorge Eduardo Carmenate Serrano, APRN, FNP-C

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1598290504
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11042800 Issued in FL
Practice address
15865 SW 69TH St
Miami, FL 33193-3618
Phone
(305) 417-0231
NPI assigned
Apr 27, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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 APRN11042800 FL Primary

Addresses

Primary practice location

15865 SW 69TH St
Miami, FL 33193-3618

Mailing address

15865 SW 69TH St
Miami, FL 33193-3618
Phone (305) 417-0231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN11042800FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1598290504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15865 SW 69TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933618",
            "telephone_number": "305-417-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15865 SW 69TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933618",
            "telephone_number": "305-417-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMENATE SERRANO",
        "first_name": "JORGE",
        "middle_name": "EDUARDO",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-27",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11042800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.