Juan Rafael Jardines, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP11014794 Issued in FL

Practice address

141 E Central Ave Ste 100
Winter Haven, FL 33880-6319

Phone

(863) 619-5999

Fax

(863) 619-5995

NPI assigned

Sep 5, 2021

Last updated

Mar 25, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Conviva Medical Center Management LLC

  dba Conviva Care Center

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1649324278

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Guidewell Sanitas I, LLC

  dba Clinisanitas

  • Family Medicine Physician
  • Doral, FL
  • NPI 1396124046

  Single Specialty

  NPD

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

{
    "created_epoch": "1630800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1841968617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 CORSO DR",
            "city": "LAKE ALFRED",
            "state": "FL",
            "postal_code": "338502579",
            "telephone_number": "786-468-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 E CENTRAL AVE STE 100",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338806319",
            "telephone_number": "863-619-5999",
            "fax_number": "863-619-5995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2109 Corso Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Alfred",
            "state": "FL",
            "postal_code": "338502579",
            "country_code": "US",
            "telephone_number": "786-468-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARDINES",
        "first_name": "JUAN",
        "middle_name": "RAFAEL",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-05",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP11014794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "juan.jardines.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "juan.jardines.1@29601.direct.athenahealth.com",
            "address_1": "141 E Central Ave Ste 100",
            "city": "Winter Haven",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338806319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• H. Gerlach James III, M.D.
• Jacqueline James
• Yvonne Jankie, L.M.T
• Maria T Jaramillo-Dolan, DPM
• Lisa M Jardine, MD
• Lauren Jarrell
• Paulene T Jasurek, RPH
• Jay Clinic, Inc
• John Tanner Jay, DO
• Omar Nemours Jean-Baptiste

• Family Nurse Practitioner in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.