Individual provider Active NPI

Marisol Perez Llufrio, MSN, APRN, NP-C

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1811501083
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11009027 Issued in FL
Practice address
4641 SW 102ND Ave
Miami, FL 33165-5753
Phone
(954) 625-9437
NPI assigned
Sep 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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 11009027 FL Primary

Addresses

Primary practice location

4641 SW 102ND Ave
Miami, FL 33165-5753

Mailing address

4641 SW 102ND Ave
Miami, FL 33165-5753
Phone (954) 625-9437

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
I20251202002233 FL Practitioner - Nurse Practitioner 0547753287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1555 N Krome Ave
Homestead, FL 33030-3232

5190 NW 167 St
Suite 104a
Miami Lakes, FL 33014-6328

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11009027FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology & Pain Medicine Inc CurrentSince Oct 1, 2025 Accepting new patients

Locations

1555 N Krome Ave
Homestead, FL 33030
Phone (305) 248-6666

12955 SW 132nd St
Ste 102
Miami, FL 33186
Phone (305) 266-0222

Organizations & group practices 1

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": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1811501083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 SW 102ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655753",
            "telephone_number": "954-625-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 SW 102ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655753",
            "telephone_number": "954-625-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ LLUFRIO",
        "first_name": "MARISOL",
        "credential": "MSN, APRN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.