Individual provider Active NPI

Maria Lilia Fundora Cabrera, DPM

  • Foot Surgery Podiatrist
  • Miami, FL
National Provider Identifier
1174903686
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO3683 Issued in FL
Practice address
1380 NE Miami Gardens Dr 209
Miami, FL 33179-4709
Phone
(305) 945-7575
Fax
(305) 945-7585
NPI assigned
Jun 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X PO3683 FL Primary

Addresses

Primary practice location

1380 NE Miami Gardens Dr 209
Miami, FL 33179-4709

Mailing address

1380 NE Miami Gardens Dr 209
Miami, FL 33179-4709
Phone (305) 945-7575

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151112002244 FL Practitioner - Podiatry 6608186150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1380 NE Miami Gardens Dr
Suite 209
Miami, FL 33179-4709

1380 Nemiami Gardens Dr
Suite 209
Miami, FL 33179-4709
Phone (305) 945-7575

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue24
Removal of nail tissue193
Removal or shaving of skin growth14
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3683FLMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Maria L Fundora Cabrera DPM PA CurrentSince Aug 31, 2015 Accepting new patients

Locations

1380 NE Miami Gardens Dr
Ste 209
North Miami Beach, FL 33179
Phone (305) 754-8270

Interoperability endpoints

  • Direct secure messaging: drfundora@mlfcdp-fl.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1174903686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR 209",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794709",
            "telephone_number": "305-945-7575",
            "fax_number": "305-945-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR 209",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794709",
            "telephone_number": "305-945-7575",
            "fax_number": "305-945-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNDORA CABRERA",
        "first_name": "MARIA",
        "middle_name": "LILIA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO3683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.