Individual provider Active NPI

Audrey De la Caridad Valladares, RN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1902486665
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11038579 Issued in FL
Practice address
8111 SW 151St Ave
Miami, FL 33193-1426
Phone
(305) 762-0452
NPI assigned
Apr 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 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 11038579 FL Primary

Addresses

Primary practice location

8111 SW 151St Ave
Miami, FL 33193-1426

Mailing address

8111 SW 151St Ave
Miami, FL 33193-1426
Phone (305) 762-0452

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
I20250909000395 FL Practitioner - Nurse Practitioner 4183126014 Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Miami, FL 33193
Phone (305) 762-0452

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11038579FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Angels Diagnostic Group Inc PastSince Apr 1, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1902486665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 SW 151ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331931426",
            "telephone_number": "305-762-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 SW 151ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331931426",
            "telephone_number": "305-762-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLADARES",
        "first_name": "AUDREY",
        "middle_name": "DE LA CARIDAD",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11038579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.