Individual provider Active NPI

Mabel Naya Monteagudo

  • Acute Care Nurse Practitioner
  • Miami, FL
National Provider Identifier
1871222554
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11019854 Issued in FL
Practice address
2400 SW 69TH Ave
Miami, FL 33155-2919
Phone
(786) 554-1090
NPI assigned
Jun 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11019854 FL Primary

Addresses

Primary practice location

2400 SW 69TH Ave
Miami, FL 33155-2919

Mailing address

12720 SW 131St Ter
Miami, FL 33186-7583
Phone (786) 554-1090

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
I20240111000007 FL Practitioner - Nurse Practitioner 3072964337 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11019854FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oneplus Healthcare Group, LLC CurrentSince Nov 1, 2025 Accepting new patients
Guidewell Sanitas I, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

600 NE 22nd Ter
Ste 304
Homestead, FL 33033

11120 SW 88th St
Ste 100
Miami, FL 33176
Phone (305) 279-0808

1604 Town Center Blvd
Ste A
Weston, FL 33326
Phone (954) 349-2094

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1871222554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 SW 131ST TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867583",
            "telephone_number": "786-554-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SW 69TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552919",
            "telephone_number": "786-554-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYA MONTEAGUDO",
        "first_name": "MABEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11019854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.