Organization Active NPI

Monica Andres DPM, PA

  • Foot & Ankle Surgery Podiatrist
  • Miami, FL
National Provider Identifier
1184786709
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3223 Issued in FL
Legal business name
MONICA ANDRES DPM, PA
Practice address
860 NW 42ND Ave Ste 305
Miami, FL 33126-4175
Phone
(305) 807-8089
Fax
(305) 246-4775
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Monica Andres, DPMNPI 1427001692
Title
President
Phone
(305) 807-8089

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO3223 FL Primary

Addresses

Primary practice location

860 NW 42ND Ave Ste 305
Miami, FL 33126-4175

Mailing address

860 NW 42ND Ave Ste 305
Miami, FL 33126-4175
Phone (305) 807-8089

Other identifiers 4

IdentifierTypeStateIssuer
AC209WOtherFLMEDICARE PTAN INDIVIDUAL
PO 3223OtherFLFLORIDA MEDICAL LICENSE
1427001692MedicaidFL
HU415AOtherFLMEDICARE PTAN GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140528002037 FL Part B Supplier - Clinic/Group Practice 8729201363 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

860 NW 42nd Ave
Ste 305
Miami, FL 33126
Phone (305) 244-8346

6705 SW 57th Ave
Ste 312
South Miami, FL 33143
Phone (305) 251-2552

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1184786709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 NW 42ND AVE STE 305",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331264175",
            "telephone_number": "305-807-8089",
            "fax_number": "305-246-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 NW 42ND AVE STE 305",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331264175",
            "telephone_number": "305-807-8089",
            "fax_number": "305-246-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA ANDRES DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "ANDRES",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-807-8089",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN INDIVIDUAL",
            "identifier": "AC209W",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "PO 3223",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427001692",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN GROUP",
            "identifier": "HU415A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.