Active NPI
Diana Rosa Reyes Izquierdo, APRN
- Nurse Practitioner
- Miami Lakes, FL
National Provider Identifier
1992425912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11020876
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240710001087 | FL | Practitioner - Nurse Practitioner | 7214372036 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9515914 | FL | MD | Registered Nurse |
| 11020876 | FL | MD | Nurse 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; 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.