Individual provider Active NPI

Eduardo Daniel Exposito

  • Adult Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1750821542
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
9337547 Issued in FL
Practice address
295 Park Blvd
Miami, FL 33126-8010
Phone
(305) 261-7979
NPI assigned
Feb 28, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 9337547 FL Primary

Addresses

Primary practice location

295 Park Blvd
Miami, FL 33126-8010

Mailing address

5951 SW 10TH St
West Miami, FL 33144-5105
Phone (786) 715-0480

Other practice location 1

5951 SW 10th St
West Miami, FL 33144-5105
Phone (786) 715-0480

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
I20180202001995 FL Practitioner - Nurse Practitioner 8123388535 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9337547FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pedro Martinez-Clark MD PA CurrentSince Nov 29, 2024 Accepting new patients

Locations

2520 Coral Way
Ste 2120
Coral Gables, FL 33145

5040 NW 7th St
Ste 750
Miami, FL 33126
Phone (305) 301-7169

5040 NW 7th St
Ste 707
Miami, FL 33126
Phone (305) 587-1752

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": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1750821542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5951 SW 10TH ST",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445105",
            "telephone_number": "786-715-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 PARK BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331268010",
            "telephone_number": "305-261-7979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5951 SW 10th St",
            "address_purpose": "LOCATION",
            "city": "West Miami",
            "state": "FL",
            "postal_code": "331445105",
            "country_code": "US",
            "telephone_number": "786-715-0480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EXPOSITO",
        "first_name": "EDUARDO",
        "middle_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-28",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9337547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.