Individual provider Active NPI

Evilio A Prendes, APRN

  • Family Nurse Practitioner
  • Doral, FL
National Provider Identifier
1689900334
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11018509 Issued in FL
Practice address
3650 NW 82ND Ave Ste 404
Doral, FL 33166-6694
Phone
(305) 595-1317
NPI assigned
Oct 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X
Family Nurse Practitioner 363LF0000X 11018509 FL Primary

Addresses

Primary practice location

3650 NW 82ND Ave Ste 404
Doral, FL 33166-6694

Mailing address

3650 NW 82ND Ave Ste 404
Doral, FL 33166-6694
Phone (305) 595-1317

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
I20220411002709 FL Practitioner - Nurse Practitioner 9931595378 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortho Florida LLCGroup PAC ID 3274616453, 121 clinicians

Practice addresses (Care Compare)

3650 NW 82ND Ave
Doral, FL 33166-6658
Phone (305) 341-7280

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11018509FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arturo Corces MD PA CurrentSince Oct 1, 2023 Accepting new patients
Ortho Florida, LLC CurrentSince Jul 1, 2024 Accepting new patients
Ortho Florida, LLC CurrentSince Jul 1, 2024 Accepting new patients
Arturo Corces MD PA Dba Miami Institute for Joint Reconstruction CurrentSince Apr 8, 2022 Accepting new patients

Locations

660 Glades Rd
Ste 460
Boca Raton, FL 33431
Phone (561) 300-1792

1601 Clint Moore Rd
Ste 125
Boca Raton, FL 33487
Phone (561) 395-5733

3650 NW 82nd Ave
Ste 201
Doral, FL 33166
Phone (305) 426-4263

3650 NW 82nd Ave
Doral, FL 33166
Phone (305) 243-1926

3650 NW 82nd Ave
Ste 404
Doral, FL 33166
Phone (305) 595-1317

8200 SW 117th Ave
Ste 104A
Miami, FL 33183
Phone (305) 403-0131

6125 SW 31st St
Miami, FL 33155
Phone (305) 662-5056

11801 SW 90th St
Ste 201
Miami, FL 33186
Phone (305) 442-8777

9299 SW 152nd St
Ste 103
Palmetto Bay, FL 33157
Phone (305) 255-3050

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

Organizations & group practices 5

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": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1689900334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 NW 82ND AVE STE 404",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666694",
            "telephone_number": "305-595-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 NW 82ND AVE STE 404",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666694",
            "telephone_number": "305-595-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENDES",
        "first_name": "EVILIO",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-29",
        "last_updated": "2024-06-03",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11018509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.