Individual provider Active NPI

Boris Luis Iglesias Simon, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1902270192
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9381442 Issued in FL
Practice address
15811 SW 61St St
Miami, FL 33193-3693
Phone
(305) 910-8942
Fax
(305) 537-6993
NPI assigned
Nov 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 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 APRN9381442 FL Primary

Addresses

Primary practice location

15811 SW 61St St
Miami, FL 33193-3693

Mailing address

15811 SW 61St St
Miami, FL 33193-3693
Phone (305) 910-8942

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
I20240205000463 FL Practitioner - Nurse Practitioner 5991148256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

9971 W Flagler St
Miami, FL 33174-1810
Phone (305) 222-8335

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Apr 1, 2024 Accepting new patients
MD Now Medical Centers Inc CurrentSince Apr 1, 2024 Accepting new patients

Locations

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

9971 W Flagler St
Miami, FL 33174
Phone (305) 222-8335

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1902270192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15811 SW 61ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933693",
            "telephone_number": "305-910-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15811 SW 61ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933693",
            "telephone_number": "305-910-8942",
            "fax_number": "305-537-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGLESIAS SIMON",
        "first_name": "BORIS",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-25",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9381442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.