Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CASEY NICOLE MINEROS
NPI 1053017913
Physician Assistant in Coral Gables, FL

Q: What is Casey Mineros's NPI number?

The NPI number for Casey Mineros is 1053017913. It was assigned to this individual provider in the NPPES registry on February 2, 2023.

Q: What is Casey Mineros's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Casey Mineros was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 02, 2023

5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146(305) 661-1515 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 6, 2026, Nov 6, 2024, Feb 2, 2023 (3 updates tracked since 2023).

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About Casey Nicole Mineros NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASEY NICOLE MINEROS (NPI 1053017913) is an individual physician assistant in Coral Gables, Florida, licensed in Florida (PA9119419) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1053017913

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCASEY NICOLE MINEROS

Location Address5955 PONCE DE LEON BLVDCoral Gables, FL 33146-2423

Mailing Address5955 Ponce De Leon BlvdCoral Gables, FL 33146-2423 · (305) 661-1515

Phone(305) 661-1515

Sole ProprietorYes

Enumeration DateFebruary 2, 2023

Last NPPES UpdateOctober 23, 20263 updates tracked since enumeration

NPPES CertifiedOctober 23, 2026

✔ NPI 1053017913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9119419

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5955 PONCE DE LEON BLVD, Coral Gables, FL 33146

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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