Individual provider Active NPI

Viviana Michelle Tenorio, ARNP

  • Nurse Practitioner
  • South Miami, FL
National Provider Identifier
1801520937
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11019709 Issued in FL
Practice address
6200 Sunset Dr Ste 505
South Miami, FL 33143-4830
Phone
(305) 668-1660
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11019709 FL
Nurse Practitioner 363L00000X 11019709 FL Primary

Addresses

Primary practice location

6200 Sunset Dr Ste 505
South Miami, FL 33143-4830

Mailing address

11870 SW 3Rd St
Miami, FL 33184-1704
Phone (786) 693-0839

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
I20230907001460 FL Practitioner - Nurse Practitioner 5698139871 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11019709FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Riviera Nursing & Rehabilitation Center, LLC CurrentSince Jul 25, 2023 Accepting new patients
Reiss Kang Jayanetti Pereda Galinanes, MD, PA CurrentSince Jul 25, 2023 Accepting new patients

Locations

6200 Sunset Dr
Ste 505
South Miami, FL 33143
Phone (305) 598-0888

Interoperability endpoints

  • Direct secure messaging: viviana.tenorio.1@24151.direct.athenahealth.com

Organizations & group practices 2

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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1801520937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11870 SW 3RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841704",
            "telephone_number": "786-693-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SUNSET DR STE 505",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434830",
            "telephone_number": "305-668-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENORIO",
        "first_name": "VIVIANA",
        "middle_name": "MICHELLE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11019709",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11019709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.