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

Yanisely Seruto

Individual provider Family Medicine Physician · NPI 1619567153

Yanisely Seruto is a Nurse Practitioner in Miami, Florida. Qualified in 2020, 6 years ago. Practices with Nova Medical Services-Specialties Division LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2021
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Practice location Address checks out

15996 SW 83rd Ter
Miami, FL 33193-3084
Phone: (786) 285-6901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 11010936 (FL)

Record details

NPI number1619567153
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 19, 2021
Last updated in NPPESJanuary 19, 2021
Certification dateJanuary 19, 2021
Mailing address15996 Sw 83rd Ter, Miami, FL 33193-3084

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 Nova Medical Services-Specialties Division Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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