Active NPI
Jessica Oporto, APRN
- Family Nurse Practitioner
- Coral Gables, FL
National Provider Identifier
1700354925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9409786
- Practice address
- 5555 Ponce de Leon Blvd Ste 128
Coral Gables, FL 33146-2513 - Phone
- (305) 284-9100
- Fax
- (305) 284-4098
- NPI assigned
- Nov 6, 2018
- Last updated
- Aug 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 9409786 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN9409786 | FL | Primary |
Addresses
Primary practice location
5555 Ponce de Leon Blvd Ste 128
Coral Gables, FL 33146-2513
Mailing address
14451 SW 115TH Ter
Miami, FL 33186-6659
Phone (305) 979-6094
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9409786 | FL | MD | Nurse Practitioner |
| APRN9409786 | FL | MD | Family Nurse Practitioner |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- joporto79327@direct.med.miami.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596499200000",
"number": "1700354925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14451 SW 115TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331866659",
"telephone_number": "305-979-6094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 PONCE DE LEON BLVD STE 128",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331462513",
"telephone_number": "305-284-9100",
"fax_number": "305-284-4098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPORTO",
"first_name": "JESSICA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-06",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "9409786",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9409786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.