Bania Pedraja Fuentes

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11012973 Issued in FL

Practice address

9250 NW 36TH St Ste 420
Doral, FL 33178-2775

Phone

(305) 266-2929

NPI assigned

Apr 7, 2021

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

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centrum Medical Holdings, LLCGroup PAC ID 8820422991, 51 clinicians

Practice addresses (Care Compare)

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.

• Centrum Medical Holdings, LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1538714282
  Medicare reassignment Care Compare group NPD
• Centrum Medical Centers Kendall, LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1912625153
  NPD
• Centrum Medical Holdings, LLC

  • Internal Medicine Physician
  • Cutler Bay, FL
  • NPI 1538715024
  NPD
• Med Care Centers LLC

  • Clinic/Center
  • Miami, FL
  • NPI 1114485638
  NPD
• Medcare Centers, LLC

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1578105052
  NPD
• Centrum Medical Holdings, LLC

  • Internal Medicine Physician
  • Lighthouse Point, FL
  • NPI 1275116568
  NPD (past)

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1366021057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 NW 183RD ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552929",
            "telephone_number": "786-985-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 NW 36TH ST STE 420",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782775",
            "telephone_number": "305-266-2929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 NW 183rd St",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "330552929",
            "country_code": "US",
            "telephone_number": "305-266-2929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7200 NW 7th St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331262941",
            "country_code": "US",
            "telephone_number": "305-266-2929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDRAJA FUENTES",
        "first_name": "BANIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11012973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bania.pedraja@centrumhealthfamily.com",
            "affiliation": "Y",
            "endpointDescription": "Company Email",
            "affiliationName": "Centrum Medical Holdings, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9250 NW 36th St Ste 420",
            "city": "Doral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331782775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Peaceful Progress Miami, LLC
• Latresha Pearce, OTR/L
• Pediatric Medicine Associates Group Inc.
• Pediatrix Medical Group of Florida Inc
• Pediatrix Medical Group of Florida Inc
• Sandramilena Pedraza Garzon
• Pedro Martinez-Clark MD PA
• Clara Bocaiuva Pedrosa
• Carlos Alberto Pedrozo Polas, RBT
• Peds Therapy

• Family Nurse Practitioner in Doral, FL
• Providers in Doral, 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 Apr 27, 2023; 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.
• 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.