Individual provider Active NPI

Jorge Luis Morales Montes de Oca, APRN

  • Family Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1720507908
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11008784 Issued in FL
Practice address
3351 Executive Way
Miramar, FL 33025-3935
Phone
(855) 441-6900
NPI assigned
Sep 19, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 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 APRN11008784 FL Primary

Addresses

Primary practice location

3351 Executive Way
Miramar, FL 33025-3935

Mailing address

3407 SW 24TH St
Miami, FL 33145-3028
Phone (786) 583-4393

Other practice location 1

3407 SW 24th St
Miami, FL 33145-3028
Phone (786) 583-4393

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
I20251020000802 FL Practitioner - Nurse Practitioner 0749778033 Reassigns benefits to 1 organization
Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Miami, FL 33145
Phone (305) 338-7356

129 Southwest 57TH Ave
Miami, FL 33144-3411

4689 Ponce de Leon Blvd
Suite 200
Coral Gables, FL 33146-2115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11008784FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kendall South Rehab Inc CurrentSince Jan 16, 2026 Accepting new patients

Locations

4689 Ponce de Leon Blvd
Ste 200
Coral Gables, FL 33146
Phone (305) 491-9169

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": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1720507908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453028",
            "telephone_number": "786-583-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 EXECUTIVE WAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253935",
            "telephone_number": "855-441-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3407 SW 24th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331453028",
            "country_code": "US",
            "telephone_number": "786-583-4393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORALES MONTES DE OCA",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-19",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.