Individual provider Active NPI

Tatiana Diaz Cardelle, NP

  • Family Nurse Practitioner
  • North Miami Beach, FL
National Provider Identifier
1760820377
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11013921 Issued in FL
Practice address
1648 NE 163Rd St
North Miami Beach, FL 33162-4731
Phone
(305) 500-2000
NPI assigned
Jun 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Family Nurse Practitioner 363LF0000X APRN11013921 FL Primary
Surgical Assistant 246ZC0007X 13135 FL

Addresses

Primary practice location

1648 NE 163Rd St
North Miami Beach, FL 33162-4731

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

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
I20211217002170 FL Practitioner - Nurse Practitioner 0840681227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

1648 NE 163Rd St
North Miami Beach, FL 33162-4731
Phone (305) 949-2000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Beach Medical Consultants, LLC. CurrentSince May 1, 2023 Accepting new patients
Conviva Medical Center Management LLC CurrentSince Dec 12, 2024 Accepting new patients
Rodolfo Dumenigo MD PA PastSince Dec 1, 2021 Accepting new patients

Locations

7291 Atlantic Ave
#48
Delray Beach, FL 33446
Phone (561) 344-1130

18590 NW 67th Ave
Ste 101
Hialeah, FL 33015
Phone (305) 819-8633

440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000

2417 US Highway 98 N
Lakeland, FL 33805
Phone (863) 821-0030

7500 SW 8th St
Ste 400
Miami, FL 33144

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

7500 SW 8th St
Miami, FL 33144
Phone (305) 265-9686

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1200 Alton Rd
Miami Beach, FL 33139
Phone (305) 534-3242

1648 NE 163rd St
North Miami Beach, FL 33162
Phone (305) 400-0752

1400 NW 107th Ave
Ste 500
Sweetwater, FL 33172
Phone (786) 534-4285

Interoperability endpoints

  • Direct secure messaging: tatiana.diaz.p1@direct.mbmg.nextgenshare.com

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": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1760820377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 NE 163RD ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624731",
            "telephone_number": "305-500-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ CARDELLE",
        "first_name": "TATIANA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11013921",
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "13135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.