Individual provider Active NPI

Lisbet Rodriguez Boloix, ARNP

  • Family Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1881188365
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9269001 Issued in FL
Practice address
14869 SW 42ND St
Miramar, FL 33027-3335
Phone
(786) 970-4026
NPI assigned
Jun 19, 2018
Last updated
Jun 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 9269001 FL Primary

Addresses

Primary practice location

14869 SW 42ND St
Miramar, FL 33027-3335

Mailing address

14869 SW 42ND St
Miramar, FL 33027-3335
Phone (786) 970-4026

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
I20240610003946 FL Practitioner - Nurse Practitioner 5294154779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Victoria Medical Group IncGroup PAC ID 1658403589, 3 clinicians

Practice addresses (Care Compare)

2387 W 68 St
Suite 402
Hialeah, FL 33016-6890
Phone (305) 822-4447

5801 NW 151St St
Miami Lakes, FL 33014-2437
Phone (954) 297-2852

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9269001FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Medical Group Inc Single Specialty CurrentSince May 16, 2025 Accepting new patients

Locations

2387 W 68th St
Ste 402
Hialeah, FL 33016
Phone (305) 822-4447

5801 NW 151st St
Ste 203
Miami Lakes, FL 33014
Phone (305) 822-4447

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, 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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1881188365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14869 SW 42ND ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273335",
            "telephone_number": "786-970-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14869 SW 42ND ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273335",
            "telephone_number": "786-970-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ BOLOIX",
        "first_name": "LISBET",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9269001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.