Individual provider Active NPI

Laura De la Nuez, PSY. D.

  • Psychologist
  • Miami, FL
National Provider Identifier
1871536110
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY 7224 Issued in FL
Practice address
351 NW 42ND Ave
Miami, FL 33126-5683
Phone
(305) 649-0010
Fax
(305) 541-0110
NPI assigned
Jun 14, 2006
Last updated
Mar 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY 7224 FL Primary

Addresses

Primary practice location

351 NW 42ND Ave
Miami, FL 33126-5683

Mailing address

6437 SW 14TH St
West Miami, FL 33144-5627
Phone (786) 797-7788

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060125000867 FL Practitioner - Clinical Psychologist 5395759690 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY 7224FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dade Family Counseling Community Mental Health Center, Inc CurrentSince Jun 1, 2020 Accepting new patients
PHP Mental Health Center Inc CurrentSince Jun 2, 2024 Accepting new patients
Family Health Community Inc CurrentSince Jun 2, 2024 Accepting new patients
Cardinals Care C.M.H.C. Current Accepting new patients

Locations

2100 Ponce de Leon Blvd
Ste 1015
Coral Gables, FL 33134
Phone (786) 514-8812

10665 SW 190th St
Ste 3213
Cutler Bay, FL 33157
Phone (786) 380-2077

8725 NW 18th Ter
Ste 206
Doral, FL 33172
Phone (786) 451-8700

1951 NW 17th Ave
Miami, FL 33125
Phone (305) 265-9220

9350 Sunset Dr
Ste 151
Miami, FL 33173
Phone (786) 548-1022

Interoperability endpoints

  • Direct secure messaging: laura.de.la.nuez.1@30520.direct.athenahealth.com

Organizations & group practices 6

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1871536110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6437 SW 14TH ST",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445627",
            "telephone_number": "786-797-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 NW 42ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265683",
            "telephone_number": "305-649-0010",
            "fax_number": "305-541-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA NUEZ",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 7224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.