Angela Z. Fandino, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME14851 Issued in FL

Practice address

8175 NW 12TH St
Suite 306 (Attn.: Nydia Aguero)
Doral, FL 33126-1828

Phone

(786) 845-0173

Fax

(305) 470-5846

NPI assigned

Oct 26, 2006

Last updated

Jun 9, 2011By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Department of Health

  dba Miami Dade County Health Department

  • Public Health or Welfare Agency
  • Doral, FL
  • NPI 1720171895
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1225113335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8175 NW 12TH ST",
            "address_2": "SUITE 306 (ATTN.: NYDIA AGUERO)",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261828",
            "telephone_number": "786-845-0173",
            "fax_number": "305-470-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8175 NW 12TH ST",
            "address_2": "SUITE 306 (ATTN.: NYDIA AGUERO)",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261828",
            "telephone_number": "786-845-0173",
            "fax_number": "305-470-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANDINO",
        "first_name": "ANGELA",
        "middle_name": "Z.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME14851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037673600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Medical Clinic, LLC
• Family Medical Group Doral LLC
• Family Mental Health Corp
• Family Pediatric Primary Care Inc. (Pediatric Medicine Associates Provider.)
• Family Trust Home Health Care, Inc.
• Isabella Fanous
• Fast X-Ray Portable Inc
• Ali Fathollahi, M.D.
• FDG Home Health Agency, Inc.
• Fe Medical Equipment Corp

• Pediatrics Physician in Doral, FL
• Providers in Doral, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.