Active NPI
Dorisley Travieso Jorge, ARNP
- Family Nurse Practitioner
- Cutler Bay, FL
National Provider Identifier
1700375052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9402632
- Practice address
- 19001 SW 106TH Ave
Cutler Bay, FL 33157-7669 - Phone
- (305) 255-9806
- Fax
- (305) 255-9807
- NPI assigned
- May 2, 2018
- Last updated
- May 1, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9402632 | FL | |
| Family Nurse Practitioner | 363LF0000X | 9402632 | FL | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | ARNP9402632 | FL | |
| General Practice Registered Nurse | 163WG0000X | 9402632 | FL |
Addresses
Primary practice location
19001 SW 106TH Ave
Cutler Bay, FL 33157-7669
Mailing address
6423 SW 162ND Ave
Miami, FL 33193-5833
Phone (305) 766-4845
Other practice location 1
14732 SW 56th St
Miami, FL 33185-4041
Phone (786) 668-6396
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9402632 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Care Doctors Inc | Current | Accepting new patients |
Locations
14732 SW 56th St
Miami, FL 33185
Phone (786) 668-6396
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.
-
- Family Medicine Physician
- Miami, FL
- NPI 1760045470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556668800000",
"number": "1700375052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6423 SW 162ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331935833",
"telephone_number": "305-766-4845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19001 SW 106TH AVE",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331577669",
"telephone_number": "305-255-9806",
"fax_number": "305-255-9807"
}
],
"practiceLocations": [
{
"address_1": "14732 SW 56th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331854041",
"country_code": "US",
"telephone_number": "786-668-6396",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAVIESO JORGE",
"first_name": "DORISLEY",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-02",
"last_updated": "2019-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9402632",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9402632",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "ARNP9402632",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "FL",
"license": "9402632",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cutler Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.