Active NPI
Dayamis Penalver, APRN
- Family Nurse Practitioner
- Miramar, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11000055
- Practice address
- 12709 Miramar Pkwy
Miramar, FL 33027-2902 - Phone
- (305) 266-2929
- NPI assigned
- Mar 29, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9439534 | FL | |
| Family Nurse Practitioner | 363LF0000X | 11000055 | FL | Primary |
Addresses
Primary practice location
12709 Miramar Pkwy
Miramar, FL 33027-2902
Mailing address
1600 W Oakland Park Blvd
Oakland Park, FL 33311-1520
Phone (754) 200-8284
Other practice location 1
11255 SW 211th St
Miami, FL 33189-2240
Phone (305) 254-7576
Other practice location 2
1600 W Oakland Park Blvd
Oakland Park, FL 33311-1520
Phone (754) 200-8482
Other practice location 3
12171 SW 268th St
Corporate Office
Homestead, FL 33032-8001
Phone (305) 278-0200
Other practice location 4
4410 W 16th Ave Ste 333
Hialeah, FL 33012-7100
Phone (305) 827-2002 ext. 87862
Other names 1
- Dayamis Penalver
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | APRN | Health Information Exchange (HIE) |
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
- Group practices
Practice addresses (Care Compare)
12709 Miramar Pkwy
Miramar, FL 33027-2902
Phone (305) 266-2929
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9439534 | FL | MD | Registered Nurse |
| 11000055 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centrum Medical Centers Kendall, LLC | Current | Accepting new patients | |
| Centrum Medical Holdings, LLC | Current | Accepting new patients | |
| Med Care Centers LLC | Current | Accepting new patients | |
| Medcare Centers, LLC | Current | Accepting new patients |
Locations
1801 N University Dr
Ste 101
Coral Springs, FL 33071
Phone (954) 344-8100
8844A W State Road 84
Ste G10
Davie, FL 33324
9250 NW 36th St
Ste 420
Doral, FL 33178
Phone (786) 873-1805
3690 Davie Blvd
Ft Lauderdale, FL 33312
Phone (954) 833-0010
1460 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 455-2385
2229 Sheridan St
Hollywood, FL 33020
Phone (954) 251-2381
3138 N Federal Hwy
Lighthouse Point, FL 33064
612 S State Road 7
Margate, FL 33068
Phone (954) 535-1919
7200 NW 7th St
Ste 150
Miami, FL 33126
Phone (305) 264-6270
12709 Miramar Pkwy
Miramar, FL 33027
Phone (786) 970-8010
5730 SW 74th St
Ste 200
South Miami, FL 33143
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.
-
- Internal Medicine Physician
- Miami, FL
- NPI 1538714282
-
- Internal Medicine Physician
- Miami, FL
- NPI 1912625153
-
- Clinic/Center
- Miami, FL
- NPI 1114485638
-
- Internal Medicine Physician
- Hialeah, FL
- NPI 1578105052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1952833964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 W OAKLAND PARK BLVD",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333111520",
"telephone_number": "754-200-8284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12709 MIRAMAR PKWY",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330272902",
"telephone_number": "305-266-2929"
}
],
"practiceLocations": [
{
"address_1": "11255 SW 211th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331892240",
"country_code": "US",
"telephone_number": "305-254-7576",
"fax_number": "305-252-9528",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 W Oakland Park Blvd",
"address_purpose": "LOCATION",
"city": "Oakland Park",
"state": "FL",
"postal_code": "333111520",
"country_code": "US",
"telephone_number": "754-200-8482",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12171 SW 268th St",
"address_2": "Corporate Office",
"address_purpose": "LOCATION",
"city": "Homestead",
"state": "FL",
"postal_code": "330328001",
"country_code": "US",
"telephone_number": "305-278-0200",
"fax_number": "305-851-4110",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4410 W 16th Ave Ste 333",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330127100",
"country_code": "US",
"telephone_number": "305-827-2002 x87862",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENALVER",
"first_name": "DAYAMIS",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-29",
"last_updated": "2022-11-14",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9439534",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11000055",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "APRN",
"affiliation": "N",
"endpointDescription": "APRN",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "12709 Miramar Pkwy",
"city": "Miramar",
"state": "FL",
"country_code": "US",
"postal_code": "330272902",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DAYAMIS",
"last_name": "PENALVER",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.