Individual provider Active NPI

Bernardo Revilla Fiol, FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami Lakes, FL
National Provider Identifier
1629968649
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11040786 Issued in FL
Practice address
5190 NW 167TH St Ste 201
Miami Lakes, FL 33014-6338
Phone
(305) 705-4289
NPI assigned
Jul 9, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP885236 NV
Family Nurse Practitioner 363LF0000X APRN11040786 FL
Family Nurse Practitioner 363LF0000X CNP885236 NV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11040786 FL Primary

Addresses

Primary practice location

5190 NW 167TH St Ste 201
Miami Lakes, FL 33014-6338

Mailing address

7972 Pines Blvd Unit 245866
Pembroke Pines, FL 33024-8647
Phone (786) 849-0033

Other practice location 1

1440 N Eastern Ave
Las Vegas, NV 89101-1553
Phone (702) 475-4352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251224002622 FL Practitioner - Nurse Practitioner 8325534514 Reassigns benefits to 1 organization
I20260520003419 NV Practitioner - Nurse Practitioner 8325534514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1440 N Eastern Ave
Las Vegas, NV 89101-1553

2420 SW 86TH Ter
Miramar, FL 33025-2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11040786FLMDFamily Nurse Practitioner
CNP885236NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Liveliness Services Inc CurrentSince Nov 12, 2025 Accepting new patients
Fiol Unity Health Solutions PLLC. Family Current Accepting new patients
Fiol'S Unity Health Solutions Psychiatric/Mental Health CurrentSince Jul 13, 2025 Accepting new patients

Locations

5190 NW 167th St
Ste 309
Miami Lakes, FL 33014
Phone (305) 705-4289

5190 NW 167th St
Ste 201
Miami Lakes, FL 33014
Phone (305) 705-4289

7972 Pines Blvd
Unit 245866
Pembroke Pines, FL 33024

Organizations & group practices 4

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": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1629968649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7972 PINES BLVD UNIT 245866",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330248647",
            "telephone_number": "786-849-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST STE 201",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146338",
            "telephone_number": "305-705-4289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1440 N Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891011553",
            "country_code": "US",
            "telephone_number": "702-475-4352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REVILLA FIOL",
        "first_name": "BERNARDO",
        "credential": "FNP-BC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-09",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "CNP885236",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11040786",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "CNP885236",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11040786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.