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Misleidys Rivero Martin, APRN

Nurse Practitioner, Family in Miami Gardens, FL. Individual provider (NPI-1).

NPI number1053014191
StatusActive
Last updated in NPPESAug 11, 2023

Details

NPI
1053014191
Entity type
Individual (NPI-1)
Name
Misleidys Rivero Martin
Credential
APRN
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 27, 2023
Certification date
Aug 11, 2023
Last updated
Aug 11, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family11024919FLYes

Practice location

2851 Nw 175th St
Miami Gardens, FL 33056-4044

Phone 305-336-8304

Mailing address

2851 Nw 175th St
Miami Gardens, FL 33056-4044

Phone 305-336-8304

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Nurse Practitioner providers in Miami Gardens, FL

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