Individual provider Active NPI

Mabel A Perez Puente, ARNP/FNP-C

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1841708237
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9283667 Issued in FL
Practice address
8321 NW 7TH St Building 1 Apt 114
Miami, FL 33126-3916
Phone
(786) 448-8808
NPI assigned
Jan 19, 2018
Last updated
Jan 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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 9283667 FL Primary

Addresses

Primary practice location

8321 NW 7TH St Building 1 Apt 114
Miami, FL 33126-3916

Mailing address

8321 NW 7 TH St Building 1 Apt 114
Miami, FL 33126
Phone (786) 448-8808

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
I20180821003878 FL Practitioner - Nurse Practitioner 1759630957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Martin N. Zaiac, MD LLCGroup PAC ID 6002865664, 2 clinicians

Practice addresses (Care Compare)

4308 Alton Rd
Suite 750
Miami Beach, FL 33140-4557
Phone (305) 532-4478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9283667FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pedro C Roig P a CurrentSince May 7, 2018 Accepting new patients
Martin N Zaiac, M.D., LLC CurrentSince Sep 23, 2018 Accepting new patients

Locations

4308 Alton Rd
Ste 750
Miami Beach, FL 33140
Phone (305) 324-2110

1350 SW 57th Ave
Ste 316
West Miami, FL 33144
Phone (305) 267-0900

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, 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": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1841708237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8321 NW 7 TH ST BUILDING 1 APT 114",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33126",
            "telephone_number": "786-448-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8321 NW 7TH ST BUILDING 1 APT 114",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263916",
            "telephone_number": "786-448-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ PUENTE",
        "first_name": "MABEL",
        "middle_name": "A",
        "credential": "ARNP/FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9283667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.