Individual provider Active NPI

Luisa Aguila

  • Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1861025033
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11006166 Issued in FL
Practice address
2020 W 64TH St
Hialeah, FL 33016-2607
Phone
(305) 642-5366
Fax
(305) 644-6407
NPI assigned
Feb 17, 2020
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

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 APRN11006166 FL Primary

Addresses

Primary practice location

2020 W 64TH St
Hialeah, FL 33016-2607

Mailing address

1100 E 6TH CT
Hialeah, FL 33010-3622
Phone (786) 417-1281

Other practice location 1

7950 NW 2nd St
Miami, FL 33126-8017
Phone (305) 642-5366 ext. 2372

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
I20240806002552 FL Practitioner - Nurse Practitioner 5799222907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leon Medical Centers LLCGroup PAC ID 9537066618, 108 clinicians

Practice addresses (Care Compare)

2020 W 64TH St
Hialeah, FL 33016-2607
Phone (305) 907-4147

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11006166FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Leon Medical Centers LLC CurrentSince May 19, 2024 Accepting new patients

Locations

8600 NW 41st St
Doral, FL 33166
Phone (305) 642-1511

2020 W 64th St
Hialeah, FL 33016
Phone (305) 631-5924

11501 SW 40th St
Miami, FL 33165
Phone (305) 646-3716

7950 NW 2nd St
Miami, FL 33126
Phone (305) 552-8822

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": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1861025033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E 6TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103622",
            "telephone_number": "786-417-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W 64TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162607",
            "telephone_number": "305-642-5366",
            "fax_number": "305-644-6407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7950 NW 2nd St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331268017",
            "country_code": "US",
            "telephone_number": "305-642-5366 x2372",
            "fax_number": "305-644-6407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUILA",
        "first_name": "LUISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11006166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.