Active NPI
Yandi Diaz Vivo
- Psychiatric/Mental Health Nurse Practitioner
- South Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11000677
- Practice address
- 5901 SW 74TH St Ste 408
South Miami, FL 33143-5164 - Phone
- (305) 735-3555
- Fax
- (954) 990-7650
- NPI assigned
- Feb 5, 2019
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11000677 | FL | Primary |
Addresses
Primary practice location
5901 SW 74TH St Ste 408
South Miami, FL 33143-5164
Mailing address
1400 E Oakland Park Blvd Ste 210
Oakland Park, FL 33334-4400
Phone (954) 561-6222
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8332 SW 8TH St
Miami, FL 33144-4180
Phone (305) 262-8282
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11000677 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garcia Health, Inc | Current | Accepting new patients | |
| Astro Health and Rehab Center LLC | Current | Accepting new patients | |
| Ventre Medical Associates, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Sonia I Rente MD PA | Past | Accepting new patients |
Locations
7261 Sheridan St
Ste 340
Hollywood, FL 33024
8332 SW 8th St
Miami, FL 33144
Phone (305) 262-8282
261 Westward Dr
Ste 108
Miami Springs, FL 33166
Phone (305) 200-5176
261 Westward Dr
Ste 108109
Miami Springs, FL 33166
Phone (305) 200-5176
1400 E Oakland Park Blvd
Ste 210
Oakland Park, FL 33334
Phone 9545616222111
5901 SW 74th St
Ste 408
South Miami, FL 33143
Phone (305) 735-3555
Organizations & group practices 4
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.
-
- General Practice Physician
- Miami Springs, FL
- NPI 1154888402
-
- Psychiatry Physician
- Miami, FL
- NPI 1477275857
-
- Psychiatry Physician
- South Miami, FL
- NPI 1558038927
Psychiatric/Mental Health
-
- General Practice Physician
- Miami, FL
- NPI 1205079563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642723200000",
"number": "1922563709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E OAKLAND PARK BLVD STE 210",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333344400",
"telephone_number": "954-561-6222",
"fax_number": "954-990-7650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 SW 74TH ST STE 408",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331435164",
"telephone_number": "305-735-3555",
"fax_number": "954-990-7650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ VIVO",
"first_name": "YANDI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-05",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11000677",
"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 Jan 21, 2022; 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.