Individual provider Active NPI

Ileana Rey Orozco

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1962050922
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11018737 Issued in FL
Practice address
16283 SW 88TH St
Miami, FL 33196-4912
Phone
(786) 953-5009
Fax
(786) 485-3914
NPI assigned
Sep 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X FL
Family Nurse Practitioner 363LF0000X APRN11018737 FL Primary

Addresses

Primary practice location

16283 SW 88TH St
Miami, FL 33196-4912

Mailing address

16283 SW 88TH St
Miami, FL 33196-4912
Phone (786) 953-5009

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
I20220331001572 FL Practitioner - Nurse Practitioner 9436545498

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1962050922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16283 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331964912",
            "telephone_number": "786-953-5009",
            "fax_number": "786-485-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16283 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331964912",
            "telephone_number": "786-953-5009",
            "fax_number": "786-485-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REY OROZCO",
        "first_name": "ILEANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11018737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.