Individual provider Active NPI

Emilio Jose Sao Tellez, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1699279463
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11034539 Issued in FL
Practice address
9798 SW 24TH St
Miami, FL 33165-7574
Phone
(305) 220-3826
Fax
(786) 219-4263
NPI assigned
Mar 19, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Case Manager/Care Coordinator 171M00000X
Family Nurse Practitioner 363LF0000X 11034539 FL Primary

Addresses

Primary practice location

9798 SW 24TH St
Miami, FL 33165-7574

Mailing address

9798 SW 24TH St
Miami, FL 33165-7574
Phone (305) 220-3826

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
I20250821000198 FL Practitioner - Nurse Practitioner 5092215418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18638 NW 78TH CT
Hialeah, FL 33015-5245

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11034539FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pasteur & Wellmax Medical Centers LLC Current Accepting new patients
Pasteur & Wellmax Medical Centers LLC CurrentSince Aug 12, 2025 Accepting new patients
Pasteur & Wellmax Medical Centers LLC CurrentSince Aug 12, 2025 Accepting new patients

Locations

9798 SW 24th St
Miami, FL 33165
Phone (305) 220-3826

1500 S Hiatus Rd
Pembroke Pines, FL 33025
Phone (954) 438-4000

6355 NW 36th St
Ste 1100
Virginia Gardens, FL 33166

Organizations & group practices 3

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": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1699279463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9798 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657574",
            "telephone_number": "305-220-3826",
            "fax_number": "786-219-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9798 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657574",
            "telephone_number": "305-220-3826",
            "fax_number": "786-219-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAO TELLEZ",
        "first_name": "EMILIO",
        "middle_name": "JOSE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11034539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.