Individual provider Active NPI

Ciomara Socorro, ARNP

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1629566286
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9341451 Issued in FL
Practice address
777 E 25TH St Ste 308
Hialeah, FL 33013-3824
Phone
(954) 696-3093
NPI assigned
Apr 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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 9341451 FL Primary

Addresses

Primary practice location

777 E 25TH St Ste 308
Hialeah, FL 33013-3824

Mailing address

777 E 25TH St Ste 308
Hialeah, FL 33013-3824
Phone (954) 696-3093

Other practice location 1

10640 SW 20th Ct
Miramar, FL 33025-3963
Phone (954) 696-3093

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
I20190411000135 FL Practitioner - Nurse Practitioner 9931440468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10640 SW 20TH CT
Miramar, FL 33025-3963
Phone (954) 696-3093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9341451FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Socorro Health Inc Current Accepting new patients
Socorro Health LLC CurrentSince May 1, 2020 Accepting new patients

Locations

777 E 25th St
Ste 308
Hialeah, FL 33013
Phone (305) 693-8585

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": "1524873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1629566286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST STE 308",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133824",
            "telephone_number": "954-696-3093",
            "fax_number": "786-567-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST STE 308",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133824",
            "telephone_number": "954-696-3093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10640 SW 20th Ct",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330253963",
            "country_code": "US",
            "telephone_number": "954-696-3093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOCORRO",
        "first_name": "CIOMARA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-28",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9341451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.