Individual provider Active NPI

Jacqueline Freire, ARNP

  • Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1730107111
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9171380 Issued in FL
Practice address
2387 W 68TH St Ste 401
Hialeah, FL 33016-6890
Phone
(305) 325-8588
Fax
(954) 943-2666
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9171380 FL Primary

Addresses

Primary practice location

2387 W 68TH St Ste 401
Hialeah, FL 33016-6890

Mailing address

9120 SW 29TH Ter
Miami, FL 33165-3225
Phone (305) 325-8588

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
I20110713000665 FL Practitioner - Nurse Practitioner 4981673605 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9120 SW 29TH Ter
Miami, FL 33165-3225
Phone (786) 554-1644

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rodolfo Gutierrez-Alsina MD PA CurrentSince Apr 1, 2014 Accepting new patients
Maray Rocher MD PA CurrentSince May 26, 2014 Accepting new patients

Locations

4791 W 4th Ave
Hialeah, FL 33012
Phone (305) 825-0500

2387 W 68th St
Ste 401
Hialeah, FL 33016
Phone (305) 325-8588

1475 W 49th St
Hialeah, FL 33012
Phone (305) 824-4761

1321 NW 14th St
Ste 401A
Miami, FL 33125
Phone (305) 545-3013

Organizations & group practices 3

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1730107111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9120 SW 29TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653225",
            "telephone_number": "305-325-8588",
            "fax_number": "954-943-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 W 68TH ST STE 401",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166890",
            "telephone_number": "305-325-8588",
            "fax_number": "954-943-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIRE",
        "first_name": "JACQUELINE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9171380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.