Individual provider Active NPI

Juan Carranza, APRN

  • Family Nurse Practitioner
  • Lauderhill, FL
National Provider Identifier
1962207845
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11038230 Issued in FL
Practice address
5260 NW 11TH St Apt 107
Lauderhill, FL 33313-6448
Phone
(305) 215-4776
NPI assigned
Feb 15, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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 11038230 FL Primary

Addresses

Primary practice location

5260 NW 11TH St Apt 107
Lauderhill, FL 33313-6448

Mailing address

5260 NW 11TH St Apt 107
Lauderhill, FL 33313-6448
Phone (305) 215-4776

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
I20251122000515 FL Practitioner - Nurse Practitioner 2264924703 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD at Home Central Florida, LLCGroup PAC ID 5395109433, 27 clinicians

Practice addresses (Care Compare)

8201 Peters Rd
Suite 1000
Plantation, FL 33324-3266
Phone (312) 243-2223

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11038230FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alive and Well Community Partners LLC CurrentSince Dec 1, 2025 Accepting new patients
MD at Home Central Florida, LLC CurrentSince Nov 17, 2025 Accepting new patients
Alive and Well Community Partners Broward LLC CurrentSince Dec 1, 2025 Accepting new patients
Alive and Well Community Urgent Care LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

1229 NW 40th Ave
Lauderhill, FL 33313
Phone (800) 434-1366

18405 NW 2nd Ave
Ste B
Miami Gardens, FL 33169
Phone (800) 434-1366

18425 NW 2nd Ave
Ph 7
Miami Gardens, FL 33169
Phone (800) 434-1366

18425 NW 2nd Ave
Ph 5
Miami Gardens, FL 33169
Phone (786) 269-4386

8201 Peters Rd
Ste 1000
Plantation, FL 33324
Phone (312) 243-2223

Interoperability endpoints

  • Direct secure messaging: juan.carranza.1@3342.direct.athenahealth.com

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": "1739577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1962207845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5260 NW 11TH ST APT 107",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333136448",
            "telephone_number": "305-215-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5260 NW 11TH ST APT 107",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333136448",
            "telephone_number": "305-215-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRANZA",
        "first_name": "JUAN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-15",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11038230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

Verify at the official NPI Registry.