Green Mountain Med Con, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GREEN MOUNTAIN MED CON, INC

Practice address

8175 NW 12TH St Ste 221
Doral, FL 33126-1828

Phone

(786) 580-4957

Fax

(786) 773-5259

NPI assigned

Sep 14, 2020

Organization subpart

No

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

Authorized official

Name

Claudia Fundora

Title

President

Phone

(786) 571-2788

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Liliana De Los Angeles Acosta Cabadilla, APRN

  • Family Nurse Practitioner
  • Palmetto Bay, FL
  • NPI 1750089074

  Single Specialty

  Medicare reassignment NPD
• Yanet Diaz-Martell, MD

  • Internal Medicine Physician
  • Naples, FL
  • NPI 1578024600
  Medicare reassignment NPD
• Sara N Llerena, MD

  • Gynecology Physician
  • Miami, FL
  • NPI 1487667994
  Medicare reassignment NPD
• Sandra Rua

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1962026278
  Medicare reassignment NPD
• Julio Cesar Pelaez, APRN

  • Nurse Practitioner
  • Miami, FL
  • NPI 1871065334
  NPD

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1194330340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8175 NW 12TH ST STE 221",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261828",
            "telephone_number": "786-580-4957",
            "fax_number": "786-773-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8175 NW 12TH ST STE 221",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261828",
            "telephone_number": "786-580-4957",
            "fax_number": "786-773-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MOUNTAIN MED CON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "FUNDORA",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-571-2788"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Granny'S Home Health Care, Inc
• Frances M. Gray, RN
• Great Medical Transportation Corp
• Marisa Lorena Greco
• Green Light Medical Services Corp
• Natasha Green
• Zebrena Denise Green, MSW
• Natalie Greenberg, ARNP
• Naila Indiana Greiver
• Nicole Grille, BCBA

• Family Medicine Physician in Doral, FL
• Providers in Doral, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.