Wilfredo Andres Querol Matos

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11012199 Issued in FL

Practice address

551 E 49TH St
Hialeah, FL 33013-1904

Phone

(305) 534-0076

NPI assigned

Mar 24, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Conviva Medical Center Management LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1649324278
  Medicare reassignment NPD
• Miami Beach Medical Consultants, LLC.

  • General Practice Physician
  • Miami Beach, FL
  • NPI 1891032819
  Medicare reassignment NPD
• Nova Medical Services - Specialties Division LLC

  • Neurology Physician
  • Miami, FL
  • NPI 1336722321
  Medicare reassignment NPD
• Nova Medical Services Pain Management & Anesthesiology Division LLC

  • Pain Medicine (Anesthesiology) Physician
  • Miami, FL
  • NPI 1417781527
  Medicare reassignment NPD

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1801473103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NW 107TH AVE STE 500",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331722746",
            "telephone_number": "305-534-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 E 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131904",
            "telephone_number": "305-534-0076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 S Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330205424",
            "country_code": "US",
            "telephone_number": "305-534-0076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18590 NW 67th Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330153540",
            "country_code": "US",
            "telephone_number": "305-534-0076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7500 SW 8th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331444400",
            "country_code": "US",
            "telephone_number": "305-534-0076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12550 Biscayne Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331812536",
            "country_code": "US",
            "telephone_number": "305-534-0076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4980 W 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330123437",
            "country_code": "US",
            "telephone_number": "305-534-0076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7495 N University Dr",
            "address_purpose": "LOCATION",
            "city": "Tamarac",
            "state": "FL",
            "postal_code": "333212971",
            "country_code": "US",
            "telephone_number": "305-534-0076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12615 W Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331614803",
            "country_code": "US",
            "telephone_number": "305-534-0076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUEROL MATOS",
        "first_name": "WILFREDO",
        "middle_name": "ANDRES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11012199",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11012199",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "N9932",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quantum Biofeedback Balance LLC
• Quantum Business Development,Inc
• Nora Quattrocelli, DO
• Luis Anibal Queral, MD
• Quero Home Health Care Inc
• Luannys Zade Quesada Carvajal, APRN
• Racciel Quesada Cespedes
• Rosirenee Quesada Rodriguez, CBHCMS
• Elizabeth P Quesada
• Fernando J. Quesada, MA

• Family Nurse Practitioner in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.