Beatriz Bacallao Ravelo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11028983 Issued in FL

Practice address

6100 SW 114TH Ave
Miami, FL 33173-1084

Phone

(305) 439-3778

NPI assigned

Oct 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1598545246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 SW 114TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 SW 114TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731084",
            "telephone_number": "305-439-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACALLAO RAVELO",
        "first_name": "BEATRIZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11028983",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11028983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaima Bacallao Borges
• Bacallao Health Services Corp
• Yudania Bacallao Mayedo
• Yasmin Bacallao Mendez
• Maria K Bacallao Ramos
• Anthony Bacallao
• Ashly Bacallao
• Aurora Bacallao
• Isabela Bacallao, RBT
• Jairon Roberto Bacallao

• 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 Mar 5, 2026; 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.