Organization Active NPI

Jupiter 71269, Corp.

  • Psychiatric/Mental Health Nurse Practitioner
  • Homestead, FL
National Provider Identifier
1912830761
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
JUPITER 71269, CORP.
Practice address
11702 SW 240TH Ter
Homestead, FL 33032-3165
Phone
(786) 238-6830
Fax
(786) 524-2442
NPI assigned
Jun 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Yenia Torres, APRNNPI 1487389748
Title
Owner
Phone
(786) 238-6830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

11702 SW 240TH Ter
Homestead, FL 33032-3165

Mailing address

11702 SW 240TH Ter
Homestead, FL 33032-3165
Phone (786) 238-6830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260616003885 FL Part B Supplier - Clinic/Group Practice 2062984404 Receives reassigned benefits from 1 practitioner
Practice locations: Homestead, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1912830761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11702 SW 240TH TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330323165",
            "telephone_number": "786-238-6830",
            "fax_number": "786-524-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11702 SW 240TH TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330323165",
            "telephone_number": "786-238-6830",
            "fax_number": "786-524-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUPITER 71269, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "YENIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-238-6830",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.