Individual provider Active NPI

Lisandra De la Hilda Garcia Serrano

  • Psychiatric/Mental Health Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1639883036
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11024440 Issued in FL
Practice address
7629 NW 181St Ter
Hialeah, FL 33015-6145
Phone
(786) 609-3902
NPI assigned
Jan 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11024440 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11024440 FL Primary

Addresses

Primary practice location

7629 NW 181St Ter
Hialeah, FL 33015-6145

Mailing address

7629 NW 181St Ter
Hialeah, FL 33015-6145
Phone (786) 609-3902

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
I20231219003402 FL Practitioner - Nurse Practitioner 4082064860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millenium Medical Group CorpGroup PAC ID 1355604877, 4 clinicians

Practice addresses (Care Compare)

18521 NW 30TH Ave
Miami Gardens, FL 33056-3003

2720 SW 97TH Ave
Suite C 105
Miami, FL 33165-2677
Phone (786) 399-5995

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11024440FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Millenium Medical Group Corp. CurrentSince Oct 5, 2023 Accepting new patients
Millenium Medical Group Corp. Current Accepting new patients

Locations

2740 SW 97th Ave
Apt 111A
Miami, FL 33165
Phone (786) 332-4330

2720 SW 97th Ave
Ste C105
Miami, FL 33165
Phone (786) 332-4330

2720 SW 97th Ave
Apt 105
Miami, FL 33165
Phone (305) 485-0909

Organizations & group practices 3

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": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1639883036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7629 NW 181ST TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330156145",
            "telephone_number": "786-609-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 NW 181ST TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330156145",
            "telephone_number": "786-609-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA SERRANO",
        "first_name": "LISANDRA",
        "middle_name": "DE LA HILDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11024440",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11024440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.