Individual provider Active NPI

Nayle Romero

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1912548827
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN11003885 Issued in FL
Practice address
9853 SW 40TH St
Miami, FL 33165-3993
Phone
(305) 223-4685
Fax
(305) 554-0969
NPI assigned
Oct 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN11003885 FL Primary

Addresses

Primary practice location

9853 SW 40TH St
Miami, FL 33165-3993

Mailing address

4567 SW 164TH PL
Miami, FL 33185-5267
Phone (786) 208-0674

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
I20210621001284 FL Practitioner - Nurse Practitioner 3870993306 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Las Mercedes, LLC Current Accepting new patients
Clinica Las Mercedes, LLC CurrentSince Apr 14, 2021 Accepting new patients
Clinica Las Mercedes, LLC CurrentSince Apr 14, 2021 Accepting new patients

Locations

149 W 21st St
Hialeah, FL 33010
Phone (786) 315-1539

1479 NW 27th Ave
Miami, FL 33125
Phone (305) 633-3776

9853 SW 40th St
Miami, FL 33165
Phone (305) 223-4685

6355 NW 36th St
Ste 1100
Virginia Gardens, FL 33166

Organizations & group practices 3

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": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1912548827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 SW 164TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855267",
            "telephone_number": "786-208-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9853 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653993",
            "telephone_number": "305-223-4685",
            "fax_number": "305-554-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "NAYLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11003885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.