Individual provider Active NPI

Cynthia Milagros Palomino Rivas, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1851909311
Registry record updated Jun 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11008237 Issued in FL
Practice address
1190 NW 95TH St Ste 207
Miami, FL 33150-2064
Phone
(305) 835-7045
NPI assigned
Jul 21, 2020
Last updated
Jun 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2021

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 APRN11008237 FL Primary

Addresses

Primary practice location

1190 NW 95TH St Ste 207
Miami, FL 33150-2064

Mailing address

1190 NW 95TH St Ste 207
Miami, FL 33150-2064
Phone (305) 835-7045

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
I20220215000149 FL Practitioner - Nurse Practitioner 9133512148 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11008237FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Randolph Borrero MD PA CurrentSince May 15, 2024 Accepting new patients
Kidney and Hypertension Specialist of Miami PA CurrentSince Jan 1, 2022 Accepting new patients

Locations

1190 NW 95th St
Ste 207
Miami, FL 33150
Phone (305) 400-8518

Interoperability endpoints

  • Direct secure messaging: cynthia.palomino-rivas@direct.davitaphysiciansolutions.com

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": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623542400000",
    "number": "1851909311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 NW 95TH ST STE 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502064",
            "telephone_number": "305-835-7045",
            "fax_number": "305-836-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 NW 95TH ST STE 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502064",
            "telephone_number": "305-835-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMINO RIVAS",
        "first_name": "CYNTHIA",
        "middle_name": "MILAGROS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2021-06-13",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.