Individual provider Active NPI

Raisa Capote Perez

  • Family Nurse Practitioner
  • Miami Lakes, FL
National Provider Identifier
1669258489
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11028435 Issued in FL
Practice address
5801 NW 151St St Ste 106
Miami Lakes, FL 33014-2437
Phone
(305) 640-8393
Fax
(305) 639-8314
NPI assigned
Sep 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11028435 FL
Family Nurse Practitioner 363LF0000X 11028435 FL Primary

Addresses

Primary practice location

5801 NW 151St St Ste 106
Miami Lakes, FL 33014-2437

Mailing address

5801 NW 151St St Ste 106
Miami Lakes, FL 33014-2437
Phone (305) 640-8393

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address raisacapote@sfa.allscriptsdirect.net Direct

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
I20231114000881 FL Practitioner - Nurse Practitioner 3173970191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
70.4 of 100Reported as group
Quality
47.82
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11028435FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida ENT Associates, Inc. CurrentSince Nov 6, 2023 Accepting new patients
New Life Med Center LLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

15955 SW 96th St
Ste 303
Miami, FL 33196
Phone (305) 380-6773

15280 NW 79th Ct
Ste 200
Miami Lakes, FL 33016

5801 NW 151st St
Ste 106
Miami Lakes, FL 33014
Phone (305) 640-8393

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": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1669258489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 NW 151ST ST STE 106",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142437",
            "telephone_number": "305-640-8393",
            "fax_number": "305-639-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 NW 151ST ST STE 106",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142437",
            "telephone_number": "305-640-8393",
            "fax_number": "305-639-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPOTE PEREZ",
        "first_name": "RAISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11028435",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11028435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "raisacapote@sfa.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct ID",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct ID",
            "address_1": "15955 SW 96th St Ste 303",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331961273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.