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

Jorge Enrique Izquierdo Paz

Individual provider Nurse Practitioner · NPI 1710839840

Jorge Enrique Izquierdo Paz is a Nurse Practitioner in Doral, Florida. Qualified in 2025, 1 year ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2026

Practice location Address checks out

3901 NW 79th Ave
Doral, FL 33166-6508
Phone: (305) 400-4605
Fax: (866) 611-2870
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11045005 (FL)

Record details

NPI number1710839840
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 11, 2026
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing address4353 Nw 77th Ave Fl 3, Miami, FL 33166-6736

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Doral