Individual provider Active NPI

Jorge Andres Alvarez Hernandez

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1861076341
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11035003 Issued in FL
Practice address
13874 SW 163Rd St
Miami, FL 33177-1931
Phone
(305) 915-3621
NPI assigned
May 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11035003 FL Primary

Addresses

Primary practice location

13874 SW 163Rd St
Miami, FL 33177-1931

Mailing address

13874 SW 163Rd St
Miami, FL 33177-1931
Phone (305) 915-3621

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
I20240923001858 FL Practitioner - Nurse Practitioner 3072054626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Assertive Comprehensive Care IncGroup PAC ID 7214381052, 3 clinicians

Practice addresses (Care Compare)

12550 Biscayne Blvd
Suite 507
North Miami, FL 33181-2544

650 NW 180TH Terrace
Suite 101
Pembroke Pines, FL 33181-2825
Phone (305) 204-1209

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Assertive Comprehensive Care Inc Psychiatric/Mental Health CurrentSince Sep 3, 2024 Accepting new patients

Locations

7900 Oak Ln
Ste 400
Miami Lakes, FL 33016
Phone (203) 350-2116

12550 Biscayne Blvd
Ste 507
North Miami, FL 33181
Phone (305) 204-1209

650 NW 180th Ter
Ste 101
Pembroke Pines, FL 33029
Phone (305) 204-1209

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1861076341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13874 SW 163RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771931",
            "telephone_number": "305-915-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13874 SW 163RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771931",
            "telephone_number": "305-915-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ HERNANDEZ",
        "first_name": "JORGE",
        "middle_name": "ANDRES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-10",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11035003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.