Individual provider Active NPI

Etienne De la Nuez

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1619429545
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9261663 Issued in FL
Practice address
14660 SW 8TH St
Miami, FL 33184-3135
Phone
(786) 888-8820
Fax
(305) 595-3088
NPI assigned
Oct 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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 ARNP9261663 FL Primary

Addresses

Primary practice location

14660 SW 8TH St
Miami, FL 33184-3135

Mailing address

6200 Sunset Dr Ste 302
South Miami, FL 33143-4829
Phone (786) 662-8122

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
I20161230000821 FL Practitioner - Nurse Practitioner 8820379027 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1751 Bonaventure Blvd
Weston, FL 33326-4039
Phone (305) 262-9900

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9261663FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Physicians of Country Walk LLC CurrentSince Dec 1, 2016 Accepting new patients
Urgent Care Physicians of Tamiami LLC CurrentSince Dec 1, 2016 Accepting new patients
Urgent Care Physicians of Palmetto Bay LLC CurrentSince Dec 1, 2016 Accepting new patients
University of Miami CurrentSince Sep 18, 2020 Accepting new patients
Urgent Care Physicians of Westchester LLC CurrentSince Dec 1, 2016 Accepting new patients
Criticare Clinics Inc CurrentSince Aug 1, 2021 Accepting new patients
Urgent Care Physicians of West Kendall LLC CurrentSince Dec 1, 2016 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Feb 20, 2017 Accepting new patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Sep 18, 2020 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Feb 20, 2017 Accepting new patients
University of Miami Past Accepting new patients

Locations (25 of 28)

21880 State Road 7
Boca Raton, FL 33428
Phone (561) 470-0647

4601 N State Road 7
Coconut Creek, FL 33073
Phone (954) 345-4456

11105 Stirling Rd
Cooper City, FL 33328
Phone (954) 233-0617

4200 SW 8th St
Coral Gables, FL 33134
Phone (305) 444-2544

4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050

6458 Linton Blvd
Delray Beach, FL 33484
Phone (561) 638-3403

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

2855 Stirling Rd
Ft Lauderdale, FL 33312
Phone (954) 981-1104

1300 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 454-1897

4895 Palm Ave
Hialeah, FL 33012
Phone (305) 231-7454

12001 Southern Blvd
Loxahatchee, FL 33470
Phone (561) 784-7403

240 Crandon Blvd
Ste 110
Miami, FL 33149
Phone (786) 595-8250

13001 SW 88th St
Miami, FL 33186
Phone (786) 596-3800

14660 SW 8th St
#100
Miami, FL 33184
Phone (786) 596-4100

14660 SW 8th St
Miami, FL 33184
Phone (786) 293-4540

13500 SW 152nd St
Miami, FL 33177
Phone (786) 596-4300

8840 SW 40th St
Ste 100
Miami, FL 33165
Phone (786) 596-3890

9130 S Dadeland Blvd
Ste 1202
Miami, FL 33156
Phone (330) 317-1594

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

11690 SW 72nd St
Miami, FL 33173
Phone (305) 595-3326

4010 SW 137th Ave
Miami, FL 33175
Phone (305) 554-4545

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

15255 SW 137th Ave
Miami, FL 33177
Phone (305) 233-8499

14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833

12295 Biscayne Blvd
North Miami, FL 33181
Phone (305) 503-8634

Interoperability endpoints

  • Direct secure messaging: enuez30670@direct.med.miami.edu

Organizations & group practices 12

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": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1619429545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SUNSET DR STE 302",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434829",
            "telephone_number": "786-662-8122",
            "fax_number": "305-595-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14660 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331843135",
            "telephone_number": "786-888-8820",
            "fax_number": "305-595-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA NUEZ",
        "first_name": "ETIENNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-26",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9261663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.