Organization Active NPI

Yeshua Medical Center Inc

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1689437634
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
YESHUA MEDICAL CENTER INC
Practice address
13255 SW 137TH Ave Ste 109
Miami, FL 33186-5327
Phone
(786) 877-1646
Fax
(786) 250-4129
NPI assigned
Feb 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Yanet Perez Prieto
Title
Partner
Phone
(786) 877-1646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

13255 SW 137TH Ave Ste 109
Miami, FL 33186-5327

Mailing address

13255 SW 137TH Ave Ste 109
Miami, FL 33186-5327
Phone (786) 250-4145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240229000533 FL Part B Supplier - Clinic/Group Practice 8729423777 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1689437634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13255 SW 137TH AVE STE 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865327",
            "telephone_number": "786-250-4145",
            "fax_number": "786-250-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13255 SW 137TH AVE STE 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865327",
            "telephone_number": "786-877-1646",
            "fax_number": "786-250-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YESHUA MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "PEREZ PRIETO",
        "authorized_official_first_name": "YANET",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "786-877-1646"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.