Individual provider Active NPI

Yandi Diaz Vivo

  • Psychiatric/Mental Health Nurse Practitioner
  • South Miami, FL
National Provider Identifier
1922563709
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11000677 Issued in FL
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

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210129000804 FL Practitioner - Nurse Practitioner 3678987864 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
APRN11000677FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Garcia Health, Inc CurrentSince Jul 5, 2022 Accepting new patients
Astro Health and Rehab Center LLC CurrentSince Oct 15, 2022 Accepting new patients
Ventre Medical Associates, LLC Psychiatric/Mental Health CurrentSince Jan 24, 2022 Accepting new patients
Sonia I Rente MD PA PastSince Feb 1, 1995 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.

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

Verify at the official NPI Registry.