Active NPI
Humberto Alejandro Garbayo, APRN
- Family Medicine Physician
- Homestead, FL
National Provider Identifier
1598347759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11012641
- Practice address
- 2028 NE 3Rd CT
Homestead, FL 33033-5229 - Phone
- (305) 299-2579
- NPI assigned
- Apr 26, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11012641 | FL | Primary |
Addresses
Primary practice location
2028 NE 3Rd CT
Homestead, FL 33033-5229
Mailing address
2028 NE 3Rd CT
Homestead, FL 33033-5229
Phone (305) 299-2579
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Athena | Health Information Exchange (HIE) |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220204001976 | FL | Order and Referring Only - Nurse Practitioner | 0547653057 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11012641 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miracle Community Behavioral Center Corp | Single Specialty | Current | Accepting new patients |
| Miracle Medical Center Corp | Single Specialty | Past | Accepting new patients |
Locations
15660 SW 72nd St
Miami, FL 33193
Phone (786) 315-6818
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.
-
- General Practice Physician
- Miami, FL
- NPI 1700491552
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1598347759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2028 NE 3RD CT",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330335229",
"telephone_number": "305-299-2579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2028 NE 3RD CT",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330335229",
"telephone_number": "305-299-2579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARBAYO",
"first_name": "HUMBERTO",
"middle_name": "ALEJANDRO",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-26",
"last_updated": "2021-04-26",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "11012641",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Athena",
"affiliation": "N",
"endpointDescription": "Patient information data",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2028 NE 3rd Ct",
"city": "Homestead",
"state": "FL",
"country_code": "US",
"postal_code": "330335229",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.