Dianelis Bouza, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11004426 Issued in FL

Practice address

628 NW 22ND Ave
Miami, FL 33125-3305

Phone

(786) 623-7074

NPI assigned

Dec 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Acevedo Medical Care Group Inc

  • General Practice Physician
  • Miami, FL
  • NPI 1588756001
  Medicare reassignment NPD

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733616000000",
    "number": "1861030660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 CENTERGATE DR APT 105",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330257284",
            "telephone_number": "786-623-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 NW 22ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253305",
            "telephone_number": "786-623-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUZA",
        "first_name": "DIANELIS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2024-12-08",
        "certification_date": "2024-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belkis Bouza Hernandez
• Yadira Bouza Jimenez, FNP
• Mario Bouza Mesa
• Amarilys Bouza, BCBA
• Christopher John Bouza, MSN
• Geisy Bouza
• Lazaro Bouza, M.D.
• Adriana M. Bove, D.D.S.
• Judea Sharlyn Bove
• Line Bovery, RN3369722

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, 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 Dec 8, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.