Individual provider Active NPI

Mirtha Elena Bauza Estrada, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1992578868
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11029255 Issued in FL
Practice address
13155 SW 134TH St Ste 224
Miami, FL 33186-4489
Phone
(786) 864-1030
Fax
(305) 735-7666
NPI assigned
Nov 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11029255 FL Primary
Family Nurse Practitioner 363LF0000X 11029255 FL

Addresses

Primary practice location

13155 SW 134TH St Ste 224
Miami, FL 33186-4489

Mailing address

7295 NW 173Rd Dr Apt 101
Hialeah, FL 33015-8409
Phone (786) 273-5366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11029255FLMDFamily Nurse Practitioner
APRN11029255FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Floridian Health Centers, LLC CurrentSince Nov 1, 2024 Accepting new patients
Excellent Medical Center LLC CurrentSince Oct 12, 2025 Accepting new patients

Locations

17395 NW 59th Ave
Hialeah, FL 33015
Phone (305) 560-5302

13155 SW 134th St
Ste 224
Miami, FL 33186
Phone (786) 424-1835

14791 Oak Ln
Miami Lakes, FL 33016
Phone (305) 330-9977

Organizations & group practices 2

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": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1992578868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7295 NW 173RD DR APT 101",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330158409",
            "telephone_number": "786-273-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13155 SW 134TH ST STE 224",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864489",
            "telephone_number": "786-864-1030",
            "fax_number": "305-735-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUZA ESTRADA",
        "first_name": "MIRTHA",
        "middle_name": "ELENA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-02",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11029255",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11029255",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.