Active NPI
Merbella Primary Care & Wellness LLC
- Family Nurse Practitioner
- South Miami, FL
National Provider Identifier
1912874603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- MERBELLA PRIMARY CARE & WELLNESS LLC
- Practice address
- 6240 SW 58TH St
South Miami, FL 33143-2104 - Phone
- (305) 992-3422
- NPI assigned
- Oct 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mercedes Condom, APRN
- Title
- Owner
- Phone
- (305) 992-3422
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
6240 SW 58TH St
South Miami, FL 33143-2104
Mailing address
6240 SW 58TH St
South Miami, FL 33143-2104
Phone (305) 992-3422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1760918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760918400000",
"number": "1912874603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6240 SW 58TH ST",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331432104",
"telephone_number": "305-992-3422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6240 SW 58TH ST",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331432104",
"telephone_number": "305-992-3422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERBELLA PRIMARY CARE & WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-20",
"last_updated": "2025-10-20",
"certification_date": "2025-10-19",
"status": "A",
"authorized_official_last_name": "CONDOM",
"authorized_official_first_name": "MERCEDES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-992-3422",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.