Individual provider Active NPI

Maritza Lazara Garcia

  • Nurse Practitioner
  • Homestead, FL
National Provider Identifier
1811506827
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11008324 Issued in FL
Practice address
437 N Krome Ave
Homestead, FL 33030-6040
Phone
(786) 378-8277
NPI assigned
Jul 26, 2020
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11008324 FL Primary

Addresses

Primary practice location

437 N Krome Ave
Homestead, FL 33030-6040

Mailing address

19356 SW 123Rd Ave
Miami, FL 33177-6559

Other practice location 1

50 NW 15th St Ste 101
Homestead, FL 33030-4267
Phone (786) 886-1030

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
I20210304002801 FL Practitioner - Nurse Practitioner 2163838731 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centers of Medical Excellence, LLC Single Specialty CurrentSince May 1, 2024 Accepting new patients

Locations

7925 NW 12th St
Ste 201
Doral, FL 33126

437 N Krome Ave
Homestead, FL 33030
Phone (786) 378-8277

50 NW 15th St
Ste 101
Homestead, FL 33030
Phone (786) 515-9771

1176 SW 67th Ave
Miami, FL 33144
Phone (305) 359-9838

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1595721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1811506827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19356 SW 123RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331776559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306040",
            "telephone_number": "786-378-8277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 NW 15th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330304267",
            "country_code": "US",
            "telephone_number": "786-886-1030",
            "fax_number": "786-377-9629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MARITZA",
        "middle_name": "LAZARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-26",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11008324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.