Individual provider Active NPI

Jorge Alberto Urdaneta Aqui, LM

  • Midwife
  • Miramar, FL
National Provider Identifier
1114699907
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW410 Issued in FL
Practice address
1951 SW 172ND Ave
Miramar, FL 33029-5593
Phone
(954) 430-7777
Fax
(877) 759-6657
NPI assigned
Sep 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MW410 FL Primary

Addresses

Primary practice location

1951 SW 172ND Ave
Miramar, FL 33029-5593

Mailing address

3574 W 94TH St
Hialeah, FL 33018-2076
Phone (786) 340-5895

Other practice location 1

10540 NW 26th St Ste G108
Doral, FL 33172-2162
Phone (786) 340-5895

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

LicenseStateTypeSpecialty
MW410FLMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Midwifery Services, LLC CurrentSince Nov 28, 2021 Accepting new patients
Birth Your Way, LLC Midwife PastSince Feb 8, 2023 Accepting new patients

Locations

10540 NW 26th St
Ste G108
Doral, FL 33172
Phone (786) 234-9056

10570 NW 27th St
Ste H102B
Doral, FL 33172
Phone (786) 234-9056

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1114699907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3574 W 94TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330182076",
            "telephone_number": "786-340-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 SW 172ND AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295593",
            "telephone_number": "954-430-7777",
            "fax_number": "877-759-6657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10540 NW 26th St Ste G108",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331722162",
            "country_code": "US",
            "telephone_number": "786-340-5895",
            "fax_number": "813-365-3074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URDANETA AQUI",
        "first_name": "JORGE",
        "middle_name": "ALBERTO",
        "credential": "LM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-30",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.