Individual provider Active NPI

Gudelia Torres, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1962827287
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9347577 Issued in FL
Practice address
1521 NW 54TH St
Miami, FL 33142-3807
Phone
(786) 594-0000
NPI assigned
Feb 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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 ARNP 9347577 FL Primary

Addresses

Primary practice location

1521 NW 54TH St
Miami, FL 33142-3807

Mailing address

1521 NW 54TH St
Miami, FL 33142-3807

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
I20150107001563 FL Practitioner - Nurse Practitioner 4284957887 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Broward Internal Medicine, PLLCGroup PAC ID 1951470970, 5 clinicians

Practice addresses (Care Compare)

6455 W Commercial Blvd
Tamarac, FL 33319-2110
Phone (954) 720-1414

6455 W Commercial Boulevard
Tamarac, FL 33319-2110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 9347577FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC CurrentSince Feb 24, 2016 Accepting new patients
West Broward Internal Medicine LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

3100 Stirling Rd
#A
Hollywood, FL 33021
Phone (954) 962-9811

1316 N State Road 7
Margate, FL 33063
Phone (954) 968-9993

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

460 N University Dr
Pembroke Pines, FL 33024
Phone (954) 437-4004

601 N Flamingo Rd
Ste 304
Pembroke Pnes, FL 33028
Phone (954) 399-9014

228 W Alexander St
Plant City, FL 33563
Phone (813) 754-5480

6455 W Commercial Blvd
Tamarac, FL 33319
Phone (549) 720-1414

6451 W Commercial Blvd
Tamarac, FL 33319
Phone (954) 652-0246

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEDBCA

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": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1962827287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 NW 54TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331423807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 NW 54TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331423807",
            "telephone_number": "786-594-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "GUDELIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-24",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9347577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.