Individual provider Active NPI

Jacqueline Porras, ARNP-BC

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1861979106
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9214031 Issued in FL
Practice address
8200 SW 117TH Ave Ste 316
Miami, FL 33183
Phone
(305) 274-6422
NPI assigned
Jul 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2019

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 9214031 FL Primary

Addresses

Primary practice location

8200 SW 117TH Ave Ste 316
Miami, FL 33183

Mailing address

8200 SW 117TH Ave Ste 316
Miami, FL 33183-4826
Phone (305) 274-6422

Other practice location 1

9851 NW 58th St Unit 109
Doral, FL 33178-2717
Phone (305) 470-9002

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
I20181213000075 FL Practitioner - Nurse Practitioner 8921343351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14680 SW 8TH St
Suite 209
Miami, FL 33184-3138

1502 Westen St
Ste. 1
Bowling Green, KY 42104-5804

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9214031FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SG Primary Care MD, LLC CurrentSince Jun 1, 2020 Accepting new patients
JF Primary Care MD PA Past Accepting new patients
Value Healthcare Partners PastSince Dec 1, 2024 Accepting new patients

Locations

8200 SW 117th Ave
Ste 314
Miami, FL 33183
Phone (305) 274-6422

8200 SW 117th Ave
Ste 316
Miami, FL 33183
Phone (305) 274-6422

Organizations & group practices 3

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": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1861979106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 SW 117TH AVE STE 316",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834826",
            "telephone_number": "305-274-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 SW 117TH AVE STE 316",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33183",
            "telephone_number": "305-274-6422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9851 NW 58th St Unit 109",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331782717",
            "country_code": "US",
            "telephone_number": "305-470-9002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORRAS",
        "first_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "credential": "ARNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9214031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.