Individual provider Active NPI

Osmin D Padron Reina, APRN-FNP-C

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1790310779
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11006519 Issued in FL
Practice address
1646 SW 136TH PL
Miami, FL 33175-1051
Phone
(786) 210-8162
NPI assigned
Mar 10, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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 APRN11006519 FL Primary

Addresses

Primary practice location

1646 SW 136TH PL
Miami, FL 33175-1051

Mailing address

1646 SW 136TH PL
Miami, FL 33175-1051
Phone (786) 210-8162

Other practice location 1

8260 W Flagler St Ste 2I
Miami, FL 33144-2069
Phone (786) 715-9183

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
I20201014000636 FL Practitioner - Nurse Practitioner 4486074440 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Wound Care Center LLCGroup PAC ID 7517358575, 11 clinicians
Opuscare of Florida LLCGroup PAC ID 4981018587, 3 clinicians

Practice addresses (Care Compare)

4995 NW 72ND Ave
Suite 406
Miami, FL 33166-5643
Phone (786) 290-6123

6900 SW 80TH St
Miami, FL 33143-4931
Phone (305) 591-1606

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Opuscare of Florida LLC CurrentSince Nov 6, 2020 Accepting new patients
Genesis Wound Care Center LLC CurrentSince Aug 1, 2022 Accepting new patients
Nova Medical Services - Surgical Division LLC CurrentSince Nov 13, 2024 Accepting new patients

Locations

4995 NW 72nd Ave
Ste 406
Miami, FL 33166
Phone (305) 603-8410

6900 SW 80th St
Miami, FL 33143
Phone (305) 591-1606

8260 W Flagler St
Ste 1A
West Miami, FL 33144
Phone (305) 220-4425

8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272

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": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1790310779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 SW 136TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331751051",
            "telephone_number": "786-210-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 SW 136TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331751051",
            "telephone_number": "786-210-8162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8260 W Flagler St Ste 2I",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331442069",
            "country_code": "US",
            "telephone_number": "786-715-9183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADRON REINA",
        "first_name": "OSMIN",
        "middle_name": "D",
        "credential": "APRN-FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-10",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11006519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.