Active NPI
Alicia A Daniels
- Adult Medicine Physician
- Miami Gardens, FL
National Provider Identifier
1073201828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 11024593
- Practice address
- 3211 NW 191St St
Miami Gardens, FL 33056-3040 - Phone
- (786) 955-7216
- NPI assigned
- Apr 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 11024593 | FL | Primary |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 11024593 | FL |
Addresses
Primary practice location
3211 NW 191St St
Miami Gardens, FL 33056-3040
Mailing address
3211 NW 191St St
Miami Gardens, FL 33056-3040
Phone (786) 955-7216
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11024593 | FL | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1073201828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3211 NW 191ST ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330563040",
"telephone_number": "786-955-7216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3211 NW 191ST ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330563040",
"telephone_number": "786-955-7216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "ALICIA",
"middle_name": "A",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-28",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "FL",
"license": "11024593",
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "FL",
"license": "11024593",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.