Active NPI
Nelson Toledo
- Family Nurse Practitioner
- North Bay Village, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11200451
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11200451 | Other | FL | AMERICAN 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11200451 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guidewell Sanitas I, LLC | Current | 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
- 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.
-
- Family Medicine Physician
- Doral, FL
- NPI 1396124046
-
- Multi-Specialty Clinic/Center
- Miami, FL
- NPI 1336814615
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.