Tania Adandevarona

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11001962 Issued in FL

Practice address

5880 SW 13TH St
West Miami, FL 33144-5704

Phone

(786) 226-5768

NPI assigned

Apr 12, 2019

Last updated

Feb 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• De Varona Medical Services, Corp

  • General Practice Registered Nurse
  • Miami, FL
  • NPI 1891337689
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1033672308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 SW 13TH ST",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 SW 13TH ST",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445704",
            "telephone_number": "786-226-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADANDEVARONA",
        "first_name": "TANIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11001962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 21 Pharmacy Inc
• ABA & Help Care Services Inc
• Active Physical Therapy
• Yayma Adames
• Adny Medical Center Inc.
• Adriazola Eye Group
• Shirley Adriazola, OD
• Advanced Medical Billing & Collection
• Advanced Medical Center Group LLC

• Family Nurse Practitioner in West Miami, FL
• Providers in West Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.