Vivian Tatiana Giraldo, NURSE PRACTITIONER

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

11017284 Issued in FL

Practice address

12325 SW 105TH Ter
Miami, FL 33186-3630

Phone

(305) 497-4007

NPI assigned

Jan 7, 2022

Last updated

Apr 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Vivian Tatiana Giraldo Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Vitalx Health LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Cutler Bay, FL
  • NPI 1336836170
  Medicare reassignment Authorized official
• Aaa Mental Health Services LLC

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1467047597
  NPD (past)

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1699436048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12325 SW 105TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863630",
            "telephone_number": "305-497-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12325 SW 105TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863630",
            "telephone_number": "305-497-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRALDO",
        "first_name": "VIVIAN",
        "middle_name": "TATIANA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11017284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIAN",
            "last_name": "GIRALDO",
            "middle_name": "TATIANA",
            "credential": "VIVIAN T RODRIGUEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jorge Humberto Giraldo Jr., OD
• Julian Mauricio Giraldo
• Maria Fernanda Giraldo, PA
• Maria Salome Salome Giraldo
• Sara Giraldo, PT
• Yermin Cristina Giraldo
• Ana Maixy Giralt Oliva
• Leannie Giralt, PTA
• Girasoles Home Care Services LLC
• Ariadna Giraudy Lorenzo

• Gerontology Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.