Individual provider Active NPI

Heidy Aguila Sanchez, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1962273342
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11030236 Issued in FL
Practice address
10201 Hammocks Blvd Ste 122
Miami, FL 33196-3783
Phone
(786) 701-8702
Fax
(305) 397-2669
NPI assigned
Jan 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11030236 FL
Primary Care Clinic/Center 261QP2300X
Nurse Practitioner 363L00000X 11030236 FL
Family Nurse Practitioner 363LF0000X 11030236 FL Primary

Addresses

Primary practice location

10201 Hammocks Blvd Ste 122
Miami, FL 33196-3783

Mailing address

10201 Hammocks Blvd Ste 122
Miami, FL 33196-3783
Phone (786) 701-8702

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
I20240415004157 FL Practitioner - Nurse Practitioner 7214376888 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11030236FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Clinical Center Corp Primary Care CurrentSince Apr 1, 2024 Accepting new patients
Dalia Medical Center Corp Primary Care CurrentSince Sep 8, 2024 Accepting new patients

Locations

10201 Hammocks Blvd
Ste 122
Miami, FL 33196
Phone (305) 541-9709

Organizations & group practices 2

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": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1962273342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 HAMMOCKS BLVD STE 122",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963783",
            "telephone_number": "786-701-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 HAMMOCKS BLVD STE 122",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963783",
            "telephone_number": "786-701-8702",
            "fax_number": "305-397-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILA SANCHEZ",
        "first_name": "HEIDY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "11030236",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11030236",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.