Individual provider Active NPI

Elesban Alvero Proenza, ARNP

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1790106805
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP-9338500 Issued in FL
Practice address
501 NW 103Rd Ave
Pembroke Pines, FL 33026-3924
Phone
(954) 251-1497
Fax
(954) 404-9537
NPI assigned
Dec 17, 2013
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP-9338500 FL Primary

Addresses

Primary practice location

501 NW 103Rd Ave
Pembroke Pines, FL 33026-3924

Mailing address

1000 NW 57TH CT Ste 400
Miami, FL 33126-3292
Phone (786) 758-3165

Other identifiers 1

IdentifierTypeStateIssuer
ARNP-9338500OtherFLPROFESSIONAL LICENSE

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
I20141008001640 FL Practitioner - Nurse Practitioner 4688894934 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Claremedica Viking LLCGroup PAC ID 4789112301, 75 clinicians

Practice addresses (Care Compare)

501 NW 103Rd Ave
Pembroke Pines, FL 33026-3924
Phone (954) 842-2175

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP-9338500FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caremax Medical Center of Pembroke Pines, LLC CurrentSince Aug 5, 2018 Accepting new patients
Caremax Medical Center of Pembroke Pines, LLC CurrentSince Aug 5, 2018 Accepting new patients
Claremedica Viking LLC CurrentSince Feb 3, 2025 Accepting new patients
Senior Medical Associates LLC Past Accepting new patients

Locations

1000 NW 57th Ct
Ste 400
Miami, FL 33126

501 NW 103rd Ave
Pembroke Pines, FL 33026
Phone (954) 251-1497

Interoperability endpoints

  • Direct secure messaging: elesban.alvero.p1@direct.caremax.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1790106805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NW 57TH CT STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263292",
            "telephone_number": "786-758-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NW 103RD AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263924",
            "telephone_number": "954-251-1497",
            "fax_number": "954-404-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVERO PROENZA",
        "first_name": "ELESBAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-17",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP-9338500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "ARNP-9338500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.