Individual provider Active NPI

Marietta Delia Basnueva, NP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1932740438
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11004339 Issued in FL
Practice address
14816 SW 179TH St
Miami, FL 33187-7712
Phone
(786) 797-0561
NPI assigned
Oct 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11004339 FL Primary

Addresses

Primary practice location

14816 SW 179TH St
Miami, FL 33187-7712

Mailing address

14816 SW 179TH St
Miami, FL 33187-7712
Phone (786) 797-0561

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
I20200325000224 FL Practitioner - Nurse Practitioner 9638507650 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11004339FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Practices of MSMC, LLC CurrentSince Feb 3, 2020 Accepting new patients
MB Primary and Concierge Health CurrentSince Oct 13, 2019 Accepting new patients

Locations

4302 Alton Rd
Ste 300
Miami Beach, FL 33140
Phone (305) 672-9989

4306 Alton Rd
Fl 2
Miami Beach, FL 33140
Phone (305) 535-3349

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/

Organizations & group practices 2

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": "1570233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1932740438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14816 SW 179TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331877712",
            "telephone_number": "786-797-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14816 SW 179TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331877712",
            "telephone_number": "786-797-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASNUEVA",
        "first_name": "MARIETTA",
        "middle_name": "DELIA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-05",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.