Individual provider Active NPI

Nelson Toledo

  • Family Nurse Practitioner
  • North Bay Village, FL
National Provider Identifier
1902401532
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11200451 Issued in FL
Practice address
1881 79TH Street Cswy Apt 1703
North Bay Village, FL 33141-4275
Phone
(786) 380-1440
NPI assigned
Dec 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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 11200451 FL Primary

Addresses

Primary practice location

1881 79TH Street Cswy Apt 1703
North Bay Village, FL 33141-4275

Mailing address

1881 79TH Street Cswy Apt 1703
North Bay Village, FL 33141-4275
Phone (786) 380-1440

Other identifiers 1

IdentifierTypeStateIssuer
11200451OtherFLAMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD

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
I20211111000738 FL Practitioner - Nurse Practitioner 4688063795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guidewell Sanitas I, LLCGroup PAC ID 9537447107, 124 clinicians

Practice addresses (Care Compare)

1313 SW 27TH Ave
Miami, FL 33145-1252
Phone (844) 665-4827

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11200451FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guidewell Sanitas I, LLC CurrentSince Oct 3, 2022 Accepting new patients
Guidewell Sanitas I, LLC Current Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

1313 SW 27th Ave
Miami, FL 33145
Phone (305) 642-2928

15600 NW 67th Ave
Ste 301
Miami Lakes, FL 33014
Phone (786) 792-3402

Interoperability endpoints

  • Direct secure messaging: nelson.toledo@wwmp.eclinicaldirectplus.com

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": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1902401532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 79TH STREET CSWY APT 1703",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414275",
            "telephone_number": "786-380-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 79TH STREET CSWY APT 1703",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414275",
            "telephone_number": "786-380-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLEDO",
        "first_name": "NELSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11200451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD",
            "identifier": "11200451",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bay Village, FL

Sources for this page

Verify at the official NPI Registry.