Individual provider Active NPI

Inieddy Rodriguez Bornot

  • Acute Care Nurse Practitioner
  • Miami Beach, FL
National Provider Identifier
1043085178
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN11029790 Issued in FL
Practice address
4302 Alton Rd
Miami Beach, FL 33140-2891
Phone
(786) 584-5560
Fax
(786) 584-5061
NPI assigned
Nov 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11029790 FL
Acute Care Nurse Practitioner 363LA2100X APRN11029790 FL Primary

Addresses

Primary practice location

4302 Alton Rd
Miami Beach, FL 33140-2891

Mailing address

4302 Alton Rd
Miami Beach, FL 33140-2891
Phone (786) 584-5560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250725002548 FL Practitioner - Nurse Practitioner 2264949130 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11029790FLMDAcute Care Nurse Practitioner
11029790FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Practices of MSMC, LLC CurrentSince May 19, 2025 Accepting new patients

Locations

6050 W 20th Ave
Fl 3
Hialeah, FL 33016
Phone (786) 584-5000

4302 Alton Rd
Miami Beach, FL 33140
Phone (305) 535-7535

4302 Alton Rd
Ste 300
Miami Beach, FL 33140
Phone (305) 672-9989

4306 Alton Rd
Fl 2
Miami Beach, FL 33140
Phone (305) 535-3349

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1043085178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402891",
            "telephone_number": "786-584-5560",
            "fax_number": "786-584-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402891",
            "telephone_number": "786-584-5560",
            "fax_number": "786-584-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ BORNOT",
        "first_name": "INIEDDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11029790",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11029790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.