Gwendolyn Antenor

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

11300 NE 2ND Ave
Miami Shores, FL 33161-6695

Phone

(541) 905-1702

NPI assigned

Oct 18, 2020

Last updated

Oct 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

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

{
    "created_epoch": "1602979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602979200000",
    "number": "1114526571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11935 NW 21ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331672712",
            "telephone_number": "541-905-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 NE 2ND AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331616695",
            "telephone_number": "541-905-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTENOR",
        "first_name": "GWENDOLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-18",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Hamm Anderson, LMFT
• Karen Susana Andrade, MSW
• Andrea B. Trowers, MD PA
• Sofia Aneas Garcia, LMHC BCBA CCMS PHD
• Clara Angulo, LCSW
• Hazel May Tan Antinero
• Ana Cecilia Apaza Concha, M.D.
• Luis A Arias-Urdaneta, M.D.
• John Arias
• Dagbjort Gigi Arnold

• Student in an Organized Health Care Education/Training Program in Miami Shores, FL
• Providers in Miami Shores, FL by specialty
• Student in an Organized Health Care Education/Training Program in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.