Individual provider Active NPI

Jenisef Diaz Padron, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1891506796
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11037022 Issued in FL
Practice address
2621 SW 16TH Ter
Miami, FL 33145-2036
Phone
(305) 965-4140
NPI assigned
Jan 20, 2025
Last updated
Jan 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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 11037022 FL Primary

Addresses

Primary practice location

2621 SW 16TH Ter
Miami, FL 33145-2036

Mailing address

2621 SW 16TH Ter
Miami, FL 33145-2036
Phone (305) 965-4140

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
I20250613001452 FL Practitioner - Nurse Practitioner 9739690181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Martin N. Zaiac, MD LLCGroup PAC ID 6002865664, 2 clinicians

Practice addresses (Care Compare)

4308 Alton Rd
Suite 750
Miami Beach, FL 33140-4557
Phone (305) 532-4478

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11037022FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Martin N Zaiac, M.D., LLC CurrentSince Jun 5, 2025 Accepting new patients

Locations

4308 Alton Rd
Ste 750
Miami Beach, FL 33140
Phone (305) 324-2110

Organizations & group practices 1

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": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1891506796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 SW 16TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452036",
            "telephone_number": "305-965-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 SW 16TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452036",
            "telephone_number": "305-965-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ PADRON",
        "first_name": "JENISEF",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11037022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.