Ileana Maria Fiallo Morejon, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11006584 Issued in FL

Practice address

751 W Palm Dr
Florida City, FL 33034-3223

Phone

(786) 377-0120

Fax

(305) 248-6106

NPI assigned

Aug 18, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Access Medical Group of Florida City, LLC.

  • Family Medicine Physician
  • Florida City, FL
  • NPI 1205118874
  Medicare reassignment NPD

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194337444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 BLUE LAGOON DR STE 365",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331267010",
            "telephone_number": "786-322-7333",
            "fax_number": "786-347-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 W PALM DR",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330343223",
            "telephone_number": "786-377-0120",
            "fax_number": "305-248-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIALLO MOREJON",
        "first_name": "ILEANA",
        "middle_name": "MARIA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Alan Fabian, O.D.
• Lisandra Fernandez Buergo
• Karen Ivette Fernandez de Castro, OTR/L
• Frank David Fernandez Pina
• Suylen Fernandez
• Flo City Dental LLC
• Tiffany Fontana, M.S., CF-SLP
• Mercedes Bertot Fraga, PHARM. D.
• Lorena Del Valle Fuenmayor, MD
• Lilien Fuentes Perez

• Family Nurse Practitioner in Florida City, FL
• Providers in Florida City, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.