Individual provider Active NPI

Reinaldo Anibal Marquez Falcon, FNP-C

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1730898347
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F11220051 Issued in FL
Practice address
18130 SW 138TH CT
Miami, FL 33177-6451
Phone
(786) 442-5430
NPI assigned
Nov 22, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X F11220051 FL Primary

Addresses

Primary practice location

18130 SW 138TH CT
Miami, FL 33177-6451

Mailing address

18130 SW 138TH CT
Miami, FL 33177-6451
Phone (786) 442-5430

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
I20240126000064 FL Practitioner - Nurse Practitioner 1456408772 Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F11220051FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ultimate Health Care, Inc PastSince May 10, 2010 Accepting new patients

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": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1730898347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18130 SW 138TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331776451",
            "telephone_number": "786-442-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18130 SW 138TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331776451",
            "telephone_number": "786-442-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ FALCON",
        "first_name": "REINALDO",
        "middle_name": "ANIBAL",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F11220051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.