Individual provider Active NPI

Anaely Fernandez Rodriguez

  • Dentist
  • Hialeah, FL
National Provider Identifier
1194498139
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN26293 Issued in FL
Practice address
16879 NW 67TH Ave
Hialeah, FL 33015-4203
Phone
(305) 654-9609
NPI assigned
Jul 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN26293 FL Primary

Addresses

Primary practice location

16879 NW 67TH Ave
Hialeah, FL 33015-4203

Mailing address

16879 NW 67TH Ave
Hialeah, FL 33015-4203

Other practice location 1

19086 NE 29th Ave
Aventura, FL 33180-2805
Phone (305) 921-0539

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
DN26293FLMDDentist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1194498139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16879 NW 67TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16879 NW 67TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154203",
            "telephone_number": "305-654-9609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19086 NE 29th Ave",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331802805",
            "country_code": "US",
            "telephone_number": "305-921-0539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ RODRIGUEZ",
        "first_name": "ANAELY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN26293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.