Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Iraisa Carpio Fonticiella

Individual provider Family Nurse Practitioner · NPI 1619755212

Iraisa Carpio Fonticiella is a Nurse Practitioner in Miami, Florida. Qualified in 2023, 3 years ago. Practices with South Health LLC, a 20-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
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Practice location Address checks out

4903 SW 144th Ct
Miami, FL 33175-5052
Phone: (786) 675-1986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11028459 (FL)

Record details

NPI number1619755212
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 15, 2023
Last updated in NPPESSeptember 15, 2023
Certification dateSeptember 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice South Health Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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