Individual provider Active NPI

Diana Rosa Reyes Izquierdo, APRN

  • Nurse Practitioner
  • Miami Lakes, FL
National Provider Identifier
1992425912
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11020876 Issued in FL
Practice address
8145 NW 155TH St
Miami Lakes, FL 33016-5872
Phone
(954) 995-6557
NPI assigned
Aug 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9515914 FL
Nurse Practitioner 363L00000X 11020876 FL Primary

Addresses

Primary practice location

8145 NW 155TH St
Miami Lakes, FL 33016-5872

Mailing address

8145 NW 155TH St
Miami Lakes, FL 33016-5872
Phone (954) 995-6557

Other practice location 1

1109 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5332
Phone (772) 236-0277

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
I20240710001087 FL Practitioner - Nurse Practitioner 7214372036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9515914FLMDRegistered Nurse
11020876FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785542400000",
    "number": "1992425912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8145 NW 155TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165872",
            "telephone_number": "954-995-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8145 NW 155TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165872",
            "telephone_number": "954-995-6557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1109 SE Port St Lucie Blvd",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349525332",
            "country_code": "US",
            "telephone_number": "772-236-0277",
            "fax_number": "772-218-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES IZQUIERDO",
        "first_name": "DIANA",
        "middle_name": "ROSA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9515914",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11020876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.