Roberto Reyes Nieves, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11024706 Issued in FL

Practice address

14221 SW 120TH St Ste 129
Miami, FL 33186-7463

Phone

(862) 929-6507

Fax

(786) 420-3240

NPI assigned

Oct 12, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• HealthSun Health Plans Network

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.

• Altius Medical Center LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1770204141
  Medicare reassignment NPD

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1992303101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14221 SW 120TH ST STE 129",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867463",
            "telephone_number": "786-292-9650",
            "fax_number": "786-420-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14221 SW 120TH ST STE 129",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867463",
            "telephone_number": "862-929-6507",
            "fax_number": "786-420-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES NIEVES",
        "first_name": "ROBERTO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-12",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "100985",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11024706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enio Reyes Miranda, APRN
• Ricardo Reyes Montenegro
• Maria Del Carmen Reyes Moreno
• Ismaray Reyes Mursuli
• Reyes Neurology LLC
• Jessica Lynn Reyes Olsson, DPT
• Guadalupe Reyes Ovies
• Yohandy Reyes Peraza
• Sthefany Barbara Reyes Perdomo
• Rebeca Lynn Reyes Perez

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.