Individual provider Active NPI

Humberto Alejandro Garbayo, APRN

  • Family Medicine Physician
  • Homestead, FL
National Provider Identifier
1598347759
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11012641 Issued in FL
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

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220204001976 FL Order and Referring Only - Nurse Practitioner 0547653057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11012641FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.