Individual provider Active NPI

Yamile De Los Angeles Guevara Portell

  • Family Nurse Practitioner
  • Doral, FL
National Provider Identifier
1669280053
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11036858 Issued in FL
Practice address
3625 NW 82ND Ave Ste 400-2
Doral, FL 33166-6652
Phone
(786) 326-2411
NPI assigned
Dec 18, 2024
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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 11036858 FL Primary

Addresses

Primary practice location

3625 NW 82ND Ave Ste 400-2
Doral, FL 33166-6652

Mailing address

22267 SW 97TH CT
Cutler Bay, FL 33190-1535
Phone (786) 326-2411

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
I20250410003418 FL Practitioner - Nurse Practitioner 2567986508 Practice locations: Cutler Bay, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11036858FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guevara Advanced Internal Medicine PA Single Specialty CurrentSince Dec 22, 2024 Accepting new patients

Locations

3625 NW 82nd Ave
Ste 4002
Doral, FL 33166
Phone (786) 326-2411

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1669280053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22267 SW 97TH CT",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901535",
            "telephone_number": "786-326-2411",
            "fax_number": "786-228-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 NW 82ND AVE STE 400-2",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666652",
            "telephone_number": "786-326-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA PORTELL",
        "first_name": "YAMILE",
        "middle_name": "DE LOS ANGELES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-18",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11036858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.