Active NPI
Michel Granados-Ruiz, APRN
- Family Nurse Practitioner
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9307278
- Practice address
- 1806 N Pine Isalnd Rd
Plantation, FL 33322-5202 - Phone
- (954) 474-0110
- Fax
- (954) 424-9859
- NPI assigned
- Jan 14, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9307278 | FL | Primary |
Addresses
Primary practice location
1806 N Pine Isalnd Rd
Plantation, FL 33322-5202
Mailing address
15525 Miami Lakeway N Apt 107
Miami Lakes, FL 33014-5514
Phone (786) 647-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105986400 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1208 Dunlawton Ave
Port Orange, FL 32127-4746
Phone (386) 304-7320
1245 W Granada Blvd
Adventhealth Centra Care Ormond Beach
Ormond Beach, FL 32174-5914
Phone (386) 317-9055
1360 Saxon Blvd
Orange City, FL 32763-8416
Phone (386) 917-0074
2293 S Woodland Blvd
Adventhealth Centra Care Deland
Deland, FL 32720-8633
Phone (386) 279-7010
440 W Hwy 436
Adventhealth Centra Care Altamonte
Altamonte Springs, FL 32714-4136
Phone (407) 788-2000
5851 State Hwy 100 E a
Adventist Health Centra Care Palm Coast Sem
Palm Coast, FL 32164-2448
Phone (386) 246-8130
Hospital & facility affiliations
- Adventhealth Orlando
- Adventhealth Redmond
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9307278 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System Sunbelt, Inc. | Family | Current | Accepting new patients |
| South Dade Primary Care, LLC | Current | Accepting new patients | |
| Adventist Health System/ Sunbelt, Inc. | Family | Current | Accepting new patients |
| Adventist Health System /Sunbelt, Inc. | Family | Current | Accepting new patients |
| PMC North Shore, LLC | Past | Accepting new patients | |
| Xpress Urgent Care, LLC. | Past | Accepting new patients |
Locations
440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000
1000 NW 57th Ct
Ste 400
Miami, FL 33126
14750 NW 77th Ct
Ste 100
Miami Lakes, FL 33016
Phone (786) 485-1005
3345 Burns Rd
Ste 302
Palm Beach Gardens, FL 33410
Phone (561) 622-4047
1806 N Pine Island Rd
Plantation, FL 33322
Phone (954) 474-0110
Interoperability endpoints
- https://api.platform.athenahealth.com/15805/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Miami, FL
- NPI 1285748285
-
- Urgent Care Clinic/Center
- Winter Haven, FL
- NPI 1013563816
Family
-
- Urgent Care Clinic/Center
- The Villages, FL
- NPI 1396605440
Family
-
- Health Service Clinic/Center
- Miami, FL
- NPI 1255635454
-
- Urgent Care Clinic/Center
- Cutler Bay, FL
- NPI 1265191639
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Rome, GA
- NPI 1508810565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1740754720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15525 MIAMI LAKEWAY N APT 107",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330145514",
"telephone_number": "786-647-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1806 N PINE ISALND RD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333225202",
"telephone_number": "954-474-0110",
"fax_number": "954-424-9859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANADOS-RUIZ",
"first_name": "MICHEL",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-14",
"last_updated": "2024-11-14",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9307278",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105986400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.