Individual provider Active NPI

Melanio Emilio Bruceta Ferrer, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1689260549
Registry record updated Jun 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11010530 Issued in FL
Practice address
2900 W Cypress Creek Rd Ste 8
Fort Lauderdale, FL 33309-1715
Phone
(954) 432-8831
NPI assigned
Dec 15, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 11010530 FL Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 11010530 FL

Addresses

Primary practice location

2900 W Cypress Creek Rd Ste 8
Fort Lauderdale, FL 33309-1715

Mailing address

5731 Palm Ave
Hialeah, FL 33012-2756
Phone (305) 409-9192

Other practice location 1

717 Ponce De Leon Blvd Ste 307
Coral Gables, FL 33134-2070
Phone (305) 952-3247

Other practice location 2

8080 Pasadena Blvd Ste A
Pembroke Pines, FL 33024-3537
Phone (954) 437-9070

Other practice location 3

5731 Palm Ave
Hialeah, FL 33012-2756
Phone (305) 409-9192

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
I20210426001741 FL Practitioner - Nurse Practitioner 8729496062 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11010530FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Innovation Physicians LLC CurrentSince Aug 31, 2021 Accepting new patients
Serene Medical Center, LLC Psychiatric/Mental Health Past Accepting new patients
Equality Mental Center Inc Past Accepting new patients
Reclamation Center PastSince Jul 7, 2024 Accepting new patients

Locations

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

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": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781308800000",
    "number": "1689260549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5731 PALM AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122756",
            "telephone_number": "305-409-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W CYPRESS CREEK RD STE 8",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091715",
            "telephone_number": "954-432-8831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "717 Ponce De Leon Blvd Ste 307",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331342070",
            "country_code": "US",
            "telephone_number": "305-952-3247",
            "fax_number": "305-952-3248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8080 Pasadena Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330243537",
            "country_code": "US",
            "telephone_number": "954-437-9070",
            "fax_number": "954-437-8193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5731 Palm Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330122756",
            "country_code": "US",
            "telephone_number": "305-409-9192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUCETA FERRER",
        "first_name": "MELANIO",
        "middle_name": "EMILIO",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-15",
        "last_updated": "2026-06-13",
        "certification_date": "2026-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11010530",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.