Individual provider Active NPI

Mirtha Marelis Castaneda Alvarez

  • Family Nurse Practitioner
  • Temple Terrace, FL
National Provider Identifier
1710713409
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
08240923 Issued in FL
Practice address
9873 Morris Glen Way
Temple Terrace, FL 33637-5124
Phone
(813) 900-6476
NPI assigned
Sep 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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 08240923 FL Primary

Addresses

Primary practice location

9873 Morris Glen Way
Temple Terrace, FL 33637-5124

Mailing address

9873 Morris Glen Way
Temple Terrace, FL 33637-5124
Phone (813) 900-6476

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
I20251022003448 FL Practitioner - Nurse Practitioner 1759879620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8900 N Armenia Ave
Suite 210
Tampa, FL 33604-1072

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
08240923FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aretxa Medical Center Inc CurrentSince Jul 26, 2025 Accepting new patients

Locations

8900 N Armenia Ave
Ste 210
Tampa, FL 33604
Phone (813) 409-7005

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1710713409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9873 MORRIS GLEN WAY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336375124",
            "telephone_number": "813-900-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9873 MORRIS GLEN WAY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336375124",
            "telephone_number": "813-900-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANEDA ALVAREZ",
        "first_name": "MIRTHA",
        "middle_name": "MARELIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "08240923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

Verify at the official NPI Registry.