Individual provider Active NPI

Liliam R. Machado, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Coral Gables, FL
National Provider Identifier
1972168227
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11033397 Issued in FL
Practice address
3850 W Flagler St
Coral Gables, FL 33134-1604
Phone
(305) 774-3300
NPI assigned
May 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11033397 FL Primary

Addresses

Primary practice location

3850 W Flagler St
Coral Gables, FL 33134-1604

Mailing address

2100 Ponce de Leon Blvd Ste 1240
Coral Gables, FL 33134-5215
Phone (305) 987-1007

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
I20250207003001 FL Practitioner - Nurse Practitioner 8820528680 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11033397FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Doctors Group, Corp. CurrentSince Apr 20, 2025 Accepting new patients
Banyan Community Health Center, Inc. CurrentSince Jan 30, 2025 Accepting new patients
Psyche Harmony Group, LLC. CurrentSince Apr 20, 2025 Accepting new patients
Medical Research of Miami LLC CurrentSince Feb 17, 2025 Accepting new patients
Banyan Community Health Center, Inc. Current Accepting new patients
Steps Therapy Center Corp Past Accepting new patients

Locations

3800 W Flagler St
Coral Gables, FL 33134
Phone (305) 774-3300

2100 Ponce de Leon Blvd
Ste 1240
Coral Gables, FL 33134
Phone (305) 987-1007

3850 W Flagler St
Coral Gables, FL 33134
Phone (305) 774-3300

10720 Caribbean Blvd
Ste 420
Cutler Bay, FL 33189
Phone (786) 293-9544

2300 NW 89th Pl
Fl 3
Doral, FL 33172

4900 W Oakland Park Blvd
Fl 3
Lauderdale Lakes, FL 33313
Phone (954) 327-4060

7500 SW 8th St
Ste 203
Miami, FL 33144
Phone (305) 264-5202

Organizations & group practices 6

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": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1972168227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 PONCE DE LEON BLVD STE 1240",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345215",
            "telephone_number": "305-987-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 W FLAGLER ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341604",
            "telephone_number": "305-774-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHADO",
        "first_name": "LILIAM",
        "middle_name": "R.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2025-04-18",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11033397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.