Active NPI
Lilliam Maria Rimblas, APRN, CPNP-AC
- Pediatric Nurse Practitioner
- Miami, FL
National Provider Identifier
1669221875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 11017270
- Practice address
- 3100 SW 62ND Ave Ste 121
Miami, FL 33155-3009 - Phone
- (305) 773-2788
- NPI assigned
- May 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 11017270 | FL | Primary |
Addresses
Primary practice location
3100 SW 62ND Ave Ste 121
Miami, FL 33155-3009
Mailing address
5955 Ponce de Leon Blvd
Coral Gables, FL 33146-2423
Phone (305) 661-1515
Other names 1
- Lilliam Maria Bauta
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11017270 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicklaus Children'S Pediatric Specialists, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- Miami, FL
- NPI 1588063176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1669221875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5955 PONCE DE LEON BLVD",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331462423",
"telephone_number": "305-661-1515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 SW 62ND AVE STE 121",
"city": "MIAMI",
"state": "FL",
"postal_code": "331553009",
"telephone_number": "305-773-2788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIMBLAS",
"first_name": "LILLIAM",
"middle_name": "MARIA",
"credential": "APRN, CPNP-AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-20",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "11017270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LILLIAM",
"last_name": "BAUTA",
"middle_name": "MARIA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.