Individual provider Active NPI

Mariela Montero Chang, APRN

  • Family Nurse Practitioner
  • Homestead, FL
National Provider Identifier
1932945839
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11024646 Issued in FL
Practice address
15600 SW 288TH St Ste 310
Homestead, FL 33033-1223
Phone
(786) 404-3225
Fax
(786) 404-3239
NPI assigned
Jul 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 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 11024646 FL Primary

Addresses

Primary practice location

15600 SW 288TH St Ste 310
Homestead, FL 33033-1223

Mailing address

515 SE 30TH Dr
Homestead, FL 33033-5764
Phone (305) 322-1701

Other practice location 1

8175 NW 12th St Ste 221
Doral, FL 33126-1828
Phone (786) 580-4957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11024646FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1932945839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 SE 30TH DR",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330335764",
            "telephone_number": "305-322-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 SW 288TH ST STE 310",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330331223",
            "telephone_number": "786-404-3225",
            "fax_number": "786-404-3239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8175 NW 12th St Ste 221",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331261828",
            "country_code": "US",
            "telephone_number": "786-580-4957",
            "fax_number": "786-773-5359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTERO CHANG",
        "first_name": "MARIELA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11024646",
            "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 Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.