Individual provider Active NPI

Marisol Ruiz Vicente, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1700348026
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN940556 Issued in FL
Practice address
7306 SW 117TH Ave
Miami, FL 33183-3804
Phone
(305) 220-0220
Fax
(877) 370-4783
NPI assigned
Apr 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN940556 FL Primary

Addresses

Primary practice location

7306 SW 117TH Ave
Miami, FL 33183-3804

Mailing address

4310 SW 9TH St
Miami, FL 33134-2624
Phone (786) 523-6941

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
I20220804000146 FL Practitioner - Nurse Practitioner 6507248754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9725 NW 117TH Ave
Suite 200
Medley, FL 33178-1260

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN940556FLMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: marisol.ruizvicente@chealth.eclinicaldirectplus.com

Organizations & group practices 1

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": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1700348026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 SW 9TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331342624",
            "telephone_number": "786-523-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7306 SW 117TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331833804",
            "telephone_number": "305-220-0220",
            "fax_number": "877-370-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ VICENTE",
        "first_name": "MARISOL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN940556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.