Individual provider Active NPI

Maira Yamileth Velasquez, FNP, DNP

  • Nurse Practitioner
  • Sunny Isles Beach, FL
National Provider Identifier
1730632704
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9328517 Issued in FL
Practice address
17107 N Bay Rd
Apt. C-505
Sunny Isles Beach, FL 33160-4085
Phone
(305) 900-9175
NPI assigned
Jul 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X V422559889630 FL
Nurse Practitioner 363L00000X APRN9328517 FL Primary

Addresses

Primary practice location

17107 N Bay Rd
Apt. C-505
Sunny Isles Beach, FL 33160-4085

Mailing address

17107 N Bay Rd
Apt. C-505
Sunny Isles Beach, FL 33160-4085
Phone (305) 900-9175

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
I20180228001320 FL Practitioner - Nurse Practitioner 5092076422 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9328517FLMDNurse Practitioner
V422559889630FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Manuel a Ojeda MD PA CurrentSince Jul 19, 2025 Accepting new patients
Collins Physician Services, LLC Nurse Practitioner CurrentSince Oct 21, 2019 Accepting new patients

Locations

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

201 NE 112th St
North Miami, FL 33161
Phone (305) 899-4700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1730632704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17107 N BAY RD",
            "address_2": "APT. C-505",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604085",
            "telephone_number": "305-900-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17107 N BAY RD",
            "address_2": "APT. C-505",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604085",
            "telephone_number": "305-900-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASQUEZ",
        "first_name": "MAIRA",
        "middle_name": "YAMILETH",
        "credential": "FNP, DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "V422559889630",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9328517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isles Beach, FL

Sources for this page

Verify at the official NPI Registry.