Individual provider Active NPI

Reynel Lavandera Sr., APRN

  • Family Nurse Practitioner
  • Opa Locka, FL
National Provider Identifier
1871625848
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN3027322 Issued in FL
Practice address
3804 NW 167TH St
Opa Locka, FL 33054-6232
Phone
(305) 975-4182
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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 APRN3027322 FL Primary

Addresses

Primary practice location

3804 NW 167TH St
Opa Locka, FL 33054-6232

Mailing address

3804 NW 167TH St
Opa Locka, FL 33054-6232
Phone (305) 975-4182

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
I20080812000647 FL Practitioner - Nurse Practitioner 5092880930 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN3027322FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rey Lavandera PA CurrentSince Apr 1, 2013 Accepting new patients

Locations

1281 NW 6th St
#D2
Miami, FL 33125
Phone (305) 319-1339

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1871625848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 NW 167TH ST",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330546232",
            "telephone_number": "305-975-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 NW 167TH ST",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330546232",
            "telephone_number": "305-975-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVANDERA",
        "first_name": "REYNEL",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN3027322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opa Locka, FL

Sources for this page

Verify at the official NPI Registry.