Active NPI
Jorge Enrique Izquierdo Paz
- Nurse Practitioner
- Doral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11045005
- Practice address
- 3901 NW 79TH Ave
Doral, FL 33166-6508 - Phone
- (305) 400-4605
- Fax
- (866) 611-2870
- NPI assigned
- Feb 11, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11045005 | FL | Primary |
Addresses
Primary practice location
3901 NW 79TH Ave
Doral, FL 33166-6508
Mailing address
4353 NW 77TH Ave FL 3
Miami, FL 33166-6736
Phone (305) 204-0333
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4353 NW 77TH Ave
FL 3
Miami, FL 33166-6736
7797 W 29TH LN
Apt 201
Hialeah, FL 33018-5189
7797 W 29TH LN Apt
Suite 201
Hialeah, FL 33018-5189
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11045005 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Univida Medical Center LLC | Single Specialty | Current | Accepting new patients |
Locations
3901 NW 79th Ave
Ste 104
Doral, FL 33166
Phone (305) 400-4605
4353 NW 77th Ave
Fl 3
Miami, FL 33166
Phone (302) 204-0333
6400 SW 8th St
West Miami, FL 33144
Phone (305) 239-2515
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.
-
- General Practice Physician
- West Miami, FL
- NPI 1487321774
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1710839840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4353 NW 77TH AVE FL 3",
"city": "MIAMI",
"state": "FL",
"postal_code": "331666736",
"telephone_number": "305-204-0333",
"fax_number": "305-359-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 NW 79TH AVE",
"city": "DORAL",
"state": "FL",
"postal_code": "331666508",
"telephone_number": "305-400-4605",
"fax_number": "866-611-2870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IZQUIERDO PAZ",
"first_name": "JORGE",
"middle_name": "ENRIQUE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-11",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11045005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.