Individual provider Active NPI

Freddy Duque, NP

  • Family Nurse Practitioner
  • Sweetwater, FL
National Provider Identifier
1073060786
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
FNP-11036513 Issued in FL
Practice address
1470 NW 107TH Ave Ste a
Sweetwater, FL 33172-2734
Phone
(786) 547-2091
NPI assigned
Sep 10, 2016
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 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 FNP-11036513 FL Primary
Acupuncturist 171100000X AP-3765 FL

Addresses

Primary practice location

1470 NW 107TH Ave Ste a
Sweetwater, FL 33172-2734

Mailing address

10345 NW 68TH Ter
Doral, FL 33178-4616
Phone (786) 547-2091

Other names 1

  • Mr. Freddy Duque Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP-3765FLMDAcupuncturist
FNP-11036513FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FD Integrative Acupuncture Corp Acupuncturist Current Accepting new patients

Locations

1470 NW 107th Ave
Ste A
Sweetwater, FL 33172
Phone (786) 547-2091

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1473465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1073060786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10345 NW 68TH TER",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784616",
            "telephone_number": "786-547-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 NW 107TH AVE STE A",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331722734",
            "telephone_number": "786-547-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUQUE",
        "first_name": "FREDDY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-10",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "FNP-11036513",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP-3765",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FREDDY",
            "last_name": "DUQUE",
            "prefix": "MR.",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sweetwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.