Individual provider Active NPI

Aylin Fundora, MSN,APRN-BC

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1114569910
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11004519 Issued in FL
Practice address
1251 NW 36TH St Ste a
Miami, FL 33142-5532
Phone
(305) 929-6150
NPI assigned
Oct 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11004519 FL Primary

Addresses

Primary practice location

1251 NW 36TH St Ste a
Miami, FL 33142-5532

Mailing address

2600 S Douglas Rd Ste 300
Coral Gables, FL 33134-6125
Phone (305) 929-6150

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
I20201110001392 FL Practitioner - Nurse Practitioner 9830509488 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11004519FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Medical Centers CurrentSince Oct 26, 2020 Accepting new patients
Health Holdings Company LLC CurrentSince Sep 3, 2025 Accepting new patients
Palm Plaza Medical Center, LLC CurrentSince Oct 26, 2020 Accepting new patients

Locations

2600 S Douglas Rd
Ste 308
Coral Gables, FL 33134
Phone (305) 777-9590

6849 Taft St
Hollywood, FL 33024
Phone (954) 266-2920

135 E 1st St
Lakeland, FL 33805
Phone (863) 686-2728

2501 SW 8th St
Miami, FL 33135
Phone (305) 642-9992

Organizations & group practices 3

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": "1570924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1114569910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S DOUGLAS RD STE 300",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346125",
            "telephone_number": "305-929-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 NW 36TH ST STE A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331425532",
            "telephone_number": "305-929-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNDORA",
        "first_name": "AYLIN",
        "credential": "MSN,APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-13",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.