Individual provider Active NPI

Dayamis Penalver, APRN

  • Family Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1952833964
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11000055 Issued in FL
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

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190329000279 FL Practitioner - Nurse Practitioner 7416297460 Reassigns benefits to 1 organization

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
Centrum Medical Holdings, LLCGroup PAC ID 8820422991, 51 clinicians

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

LicenseStateTypeSpecialty
9439534FLMDRegistered Nurse
11000055FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centrum Medical Centers Kendall, LLC CurrentSince Jul 28, 2021 Accepting new patients
Centrum Medical Holdings, LLC CurrentSince Jul 28, 2021 Accepting new patients
Med Care Centers LLC Current Accepting new patients
Medcare Centers, LLC CurrentSince Apr 28, 2024 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.

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

Verify at the official NPI Registry.