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

Javier Alfonso Bautista, APRN

Individual provider Acute Care Nurse Practitioner · NPI 1386253656

Javier Alfonso Bautista, APRN is a Nurse Practitioner in Lauderdale Lakes, Florida. Qualified in 2020, 6 years ago. Practices with South Florida Critical Care Services LLC, a 150-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313-1585
Phone: (305) 928-7249
Fax: (305) 630-3632
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN11008106 (FL)

Record details

NPI number1386253656
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorYes
NPI enumeratedJuly 23, 2020
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice South Florida Critical Care Services Llc — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lauderdale Lakes