Individual provider Active NPI

Jayler Valdes Hechevarria, ARNP

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1972924819
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP-9338953 Issued in FL
Practice address
149 W 21St St
Hialeah, FL 33010-2615
Phone
(305) 558-0765
Fax
(786) 219-4355
NPI assigned
Dec 19, 2013
Last updated
Dec 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 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 ARNP-9338953 FL Primary

Addresses

Primary practice location

149 W 21St St
Hialeah, FL 33010-2615

Mailing address

11255 SW 211TH St
American Care of South Florida, Inc.
Miami, FL 33189-2240
Phone (305) 278-0200

Other identifiers 1

IdentifierTypeStateIssuer
ARNP-9338953OtherFLPROFESSIONAL LICENSE

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
I20180124002095 FL Order and Referring Only - Nurse Practitioner 4385925544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP-9338953FLMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1972924819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11255 SW 211TH ST",
            "address_2": "AMERICAN CARE OF SOUTH FLORIDA, INC.",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331892240",
            "telephone_number": "305-278-0200",
            "fax_number": "786-235-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 W 21ST ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330102615",
            "telephone_number": "305-558-0765",
            "fax_number": "786-219-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES HECHEVARRIA",
        "first_name": "JAYLER",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP-9338953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "ARNP-9338953",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.