Individual provider Active NPI

Maria Regla Bravo Perez

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1821847666
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11031551 Issued in FL
Practice address
2917 NW 95TH St
Miami, FL 33147-2323
Phone
(305) 439-2935
NPI assigned
May 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 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 11031551 FL Primary

Addresses

Primary practice location

2917 NW 95TH St
Miami, FL 33147-2323

Mailing address

2917 NW 95TH St
Miami, FL 33147-2323
Phone (305) 439-2935

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
I20250311000366 FL Practitioner - Nurse Practitioner 8729509484 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Familia Mental Health IncGroup PAC ID 5092104216, 3 clinicians

Practice addresses (Care Compare)

1550 W 84TH St
Suite 31
Hialeah, FL 33014-3355
Phone (305) 901-1191

Hospital & facility affiliations

  • Vennus Home Health Inc Home health agency, Miami, FL, CCN 109265

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11031551FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Counseling and Wellness Center LLC CurrentSince Jan 6, 2026 Accepting new patients
Hermes Clinical Center LLC CurrentSince Oct 1, 2025 Accepting new patients
La Familia Mental Health Inc CurrentSince Oct 1, 2025 Accepting new patients
Wellness Are USA Inc CurrentSince Jan 5, 2025 Accepting new patients
Shalom Wellness Center Corp. CurrentSince Jan 3, 2026 Accepting new patients
Ebenezer Wellness Center Inc CurrentSince Jan 3, 2026 Accepting new patients
Venturi Home Health Services Corp Nurse Practitioner Current Accepting new patients
MMH Medical Group Corp CurrentSince Jan 1, 2026 Accepting new patients
Aaa Mental Health Services LLC PastSince May 2, 2025 Accepting new patients
Peak Health LLC Nurse Practitioner Past Accepting new patients
Peak Health LLC Past Accepting new patients

Locations

1200 NW 78th Ave
Ste 210
Doral, FL 33126
Phone (305) 551-3003

1550 W 84th St
Ste 31
Hialeah, FL 33014
Phone (305) 823-3461

3220 Lantana Rd
Lake Worth, FL 33462
Phone (786) 760-0135

9835 Sunset Dr
Ste 105A
Miami, FL 33173
Phone (786) 797-2051

10201 Hammocks Blvd
Ste 123
Miami, FL 33196
Phone (305) 385-5582

330 SW 27th Ave
Ste 305
Miami, FL 33135
Phone (305) 487-3989

4995 NW 72nd Ave
Ste 209
Miami, FL 33166
Phone (786) 651-4190

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1821847666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 NW 95TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331472323",
            "telephone_number": "305-439-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 NW 95TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331472323",
            "telephone_number": "305-439-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO PEREZ",
        "first_name": "MARIA",
        "middle_name": "REGLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11031551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.