Individual provider Active NPI

Vivian Isel Clavero

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1720580715
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9292911 Issued in FL
Practice address
6100 Hollywood Blvd Ste 300
Pembroke Pines, FL 33024-7982
Phone
(786) 517-6999
NPI assigned
Mar 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9292911 FL
Family Nurse Practitioner 363LF0000X 9292911 FL Primary

Addresses

Primary practice location

6100 Hollywood Blvd Ste 300
Pembroke Pines, FL 33024-7982

Mailing address

260 E 65TH St
Hialeah, FL 33013-1051
Phone (786) 908-7562

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
I20200729001889 FL Practitioner - Nurse Practitioner 0042635716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guidewell Sanitas I, LLCGroup PAC ID 9537447107, 124 clinicians

Practice addresses (Care Compare)

2000 NW 87TH Ave
Suite 101 102
Doral, FL 33172-2654
Phone (844) 665-4827

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9292911FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guidewell Sanitas I, LLC CurrentSince Mar 28, 2020 Accepting new patients
Claveros Mental Well-Being LLC Family CurrentSince Aug 1, 2025 Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

6100 Hollywood Blvd
Ste 300
Pembroke Pines, FL 33024
Phone (754) 290-5429

Interoperability endpoints

  • Direct secure messaging: vivian.clavero@wwmp.eclinicaldirectplus.com

Organizations & group practices 2

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": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1720580715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E 65TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131051",
            "telephone_number": "786-908-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 HOLLYWOOD BLVD STE 300",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330247982",
            "telephone_number": "786-517-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAVERO",
        "first_name": "VIVIAN",
        "middle_name": "ISEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9292911",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9292911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.