Individual provider Active NPI

Yanelys Quevedo Penton, ARNP

  • Nurse Practitioner
  • Doral, FL
National Provider Identifier
1700373578
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9348346 Issued in FL
Practice address
9250 NW 36TH St Ste 420
Doral, FL 33178-2775
Phone
(786) 447-4582
NPI assigned
Apr 17, 2018
Last updated
Sep 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9348346 FL Primary

Addresses

Primary practice location

9250 NW 36TH St Ste 420
Doral, FL 33178-2775

Mailing address

1642 SW 138TH CT
Miami, FL 33175-7537
Phone (786) 447-4582

Other practice location 1

1149 SW 27th Ave
Miami, FL 33135-4758
Phone (786) 447-4582

Other practice location 2

11825 SW 26th St
Miami, FL 33175-2464
Phone (786) 447-4582

Other practice location 3

900 W 49th St
Hialeah, FL 33012-3402
Phone (786) 447-4582

Other practice location 4

1642 SW 138th Ct
Miami, FL 33175-7537
Phone (786) 447-4582

Other practice location 5

7200 NW 7th St
Miami, FL 33126-2948
Phone (786) 447-4582

Other practice location 6

10980 SW 184th St
Cutler Bay, FL 33157-6615
Phone (786) 447-4582

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
I20200109002426 FL Practitioner - Nurse Practitioner 7315372802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centrum Medical Holdings, LLCGroup PAC ID 8820422991, 51 clinicians

Practice addresses (Care Compare)

7200 NW 7TH St
Suite 150
Miami, FL 33126-2941
Phone (305) 266-2929

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9348346FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neuromuscular Physical Therapy, Inc CurrentSince Sep 1, 2022 Accepting new patients
Centrum Medical Holdings, LLC Current Accepting new patients
Centrum Medical Holdings, LLC Dba Centrum Health CurrentSince Sep 13, 2021 Accepting new patients
Centrum Medical Centers Kendall, LLC CurrentSince Sep 13, 2021 Accepting new patients

Locations

10980 SW 184th St
Cutler Bay, FL 33157
Phone (305) 266-2928

9250 NW 36th St
Ste 420
Doral, FL 33178

4218 E 4th Ave
Hialeah, FL 33013
Phone (305) 828-1971

900 W 49th St
Ste 101
Hialeah, FL 33012

900 W 49th St
Ste 206
Hialeah, FL 33012
Phone (305) 571-6292

900 W 49th St
Ste 308
Hialeah, FL 33012
Phone (305) 801-6952

28610 SW 157th Ave
Homestead, FL 33033
Phone (786) 873-1805

1149 SW 27th Ave
Miami, FL 33135
Phone (305) 642-1588

11825 SW 26th St
Miami, FL 33175
Phone (786) 447-4582

434 SW 12th Ave
Ste 100
Miami, FL 33130

7200 NW 7th St
Ste 150
Miami, FL 33126
Phone (305) 264-6270

7200 NW 7th St
Ste 202
Miami, FL 33126
Phone (305) 262-5833

7270 NW 12th St
Ste 320
Miami, FL 33126
Phone (786) 850-3304

4767 NW 183rd St
Miami Gardens, FL 33055
Phone (305) 351-9337

Organizations & group practices 4

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": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1700373578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 SW 138TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757537",
            "telephone_number": "786-447-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 NW 36TH ST STE 420",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782775",
            "telephone_number": "786-447-4582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1149 SW 27th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331354758",
            "country_code": "US",
            "telephone_number": "786-447-4582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11825 SW 26th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331752464",
            "country_code": "US",
            "telephone_number": "786-447-4582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 W 49th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330123402",
            "country_code": "US",
            "telephone_number": "786-447-4582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1642 SW 138th Ct",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331757537",
            "country_code": "US",
            "telephone_number": "786-447-4582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7200 NW 7th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331262948",
            "country_code": "US",
            "telephone_number": "786-447-4582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10980 SW 184th St",
            "address_purpose": "LOCATION",
            "city": "Cutler Bay",
            "state": "FL",
            "postal_code": "331576615",
            "country_code": "US",
            "telephone_number": "786-447-4582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUEVEDO PENTON",
        "first_name": "YANELYS",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9348346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.