Individual provider Active NPI

Alexeis Garcia Tamayo, APRN

  • Family Nurse Practitioner
  • Homestead, FL
National Provider Identifier
1770903791
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11015572 Issued in FL
Practice address
25217 SW 114TH Ave
Homestead, FL 33032-6330
Phone
(786) 307-5085
NPI assigned
Apr 17, 2014
Reactivated
Oct 20, 2021
Last updated
Oct 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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 11015572 FL Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

25217 SW 114TH Ave
Homestead, FL 33032-6330

Mailing address

25217 SW 114TH Ave
Homestead, FL 33032-6330
Phone (786) 307-5085

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
I20211216000036 FL Practitioner - Nurse Practitioner 6800287467 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

Practice addresses (Care Compare)

10691 N Kendall Dr
Suite 304
Miami, FL 33176-1551
Phone (305) 960-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11015572FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bett-ER Support & Service Inc CurrentSince Jul 1, 2025 Accepting new patients
Guidewell Sanitas I, LLC Current Accepting new patients
Guidewell Sanitas I, LLC CurrentSince Jun 17, 2023 Accepting new patients
Brain Builders Pediatric Therapy Corp CurrentSince Apr 20, 2025 Accepting new patients
Bett-ER Support & Service Inc PastSince Feb 1, 2024 Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

10691 N Kendall Dr
Ste 304
Miami, FL 33176
Phone (305) 960-7900

760 NW 107th Ave
Ste 100
Miami, FL 33172
Phone (786) 534-7172

Interoperability endpoints

  • Direct secure messaging: alexeis.garciatamayo@wwmp.eclinicaldirectplus.com

Organizations & group practices 5

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": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1770903791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25217 SW 114TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330326330",
            "telephone_number": "786-307-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25217 SW 114TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330326330",
            "telephone_number": "786-307-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA TAMAYO",
        "first_name": "ALEXEIS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-17",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "deactivation_date": "2021-09-24",
        "reactivation_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11015572",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.