Individual provider Active NPI

Rebeca Urbina, APRN

  • Family Nurse Practitioner
  • Palmetto Bay, FL
National Provider Identifier
1962263228
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11030574 Issued in FL
Practice address
18104 SW 92ND CT
Palmetto Bay, FL 33157-5735
Phone
(305) 934-0368
NPI assigned
Jan 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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 APRN11030574 FL Primary

Addresses

Primary practice location

18104 SW 92ND CT
Palmetto Bay, FL 33157-5735

Mailing address

18104 SW 92ND CT
Palmetto Bay, FL 33157-5735
Phone (305) 934-0368

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
I20250115000704 FL Practitioner - Nurse Practitioner 7012445323 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11030574FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Medical Services - Cardiology Division LLC CurrentSince Dec 6, 2024 Accepting new patients

Locations

8260 W Flagler St
Ste 1A
West Miami, FL 33144
Phone (305) 220-4425

8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272

Organizations & group practices 1

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": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1962263228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18104 SW 92ND CT",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575735",
            "telephone_number": "305-934-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18104 SW 92ND CT",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575735",
            "telephone_number": "305-934-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBINA",
        "first_name": "REBECA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11030574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

Verify at the official NPI Registry.