Individual provider Active NPI

Robinson Remonville, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1720698947
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11008310 Issued in FL
Practice address
6045 SW 40TH St
Miramar, FL 33023-5107
Phone
(305) 896-8711
NPI assigned
Aug 3, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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 APRN11008310 FL Primary
Family Nurse Practitioner 363LF0000X 11008300 FL

Addresses

Primary practice location

6045 SW 40TH St
Miramar, FL 33023-5107

Mailing address

6045 SW 40TH St
Miramar, FL 33023-5107
Phone (305) 896-8711

Other names 1

  • Mr. Robinson Remonville Professional name

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
I20221122002856 FL Practitioner - Nurse Practitioner 5991173965 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miami Dade Community Services, Inc.Group PAC ID 2365668282, 3 clinicians

Practice addresses (Care Compare)

1901 SW 1 St
Second Floor
Miami, FL 33135-1601
Phone (305) 631-8931

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11008300FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Dade Community Services Inc CurrentSince Oct 6, 2022 Accepting new patients
Emilio Mantero-Atienza MD PA CurrentSince Jan 20, 2023 Accepting new patients
Parker Medical Inc Past Accepting new patients
Miami Dade Community Services Inc PastSince Jul 4, 2021 Accepting new patients

Locations

2100 E Hallandale Beach Blvd
Ste 306
Hallandale Beach, FL 33009
Phone (305) 631-8931

1901 SW 1st St
Fl 2
Miami, FL 33135
Phone (305) 631-8931

1901 SW 1st St
Fl Second
Miami, FL 33135
Phone (305) 631-8931

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

1901 SW 1st St
Ste 280
Miami, FL 33135
Phone (305) 326-0729

Interoperability endpoints

  • Direct secure messaging: robinson.remonville.p1@direct.vivamasmedical.nextgenshare.com

Organizations & group practices 5

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": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1720698947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 SW 40TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330235107",
            "telephone_number": "305-896-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 SW 40TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330235107",
            "telephone_number": "305-896-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMONVILLE",
        "first_name": "ROBINSON",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-03",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11008310",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11008300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBINSON",
            "last_name": "REMONVILLE",
            "prefix": "MR.",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.