Active NPI
Yudith Pando
- Family Nurse Practitioner
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F04180293
- Practice address
- 6401 NW 27TH Ave
Miami, FL 33147-7734 - Phone
- (305) 960-7668
- Fax
- (786) 310-7347
- NPI assigned
- Apr 13, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ARNP9398403 | FL | |
| Family Nurse Practitioner | 363LF0000X | F04180293 | FL | Primary |
Addresses
Primary practice location
6401 NW 27TH Ave
Miami, FL 33147-7734
Mailing address
7925 NW 12TH St Ste 201
Doral, FL 33126-1821
Phone (305) 874-3909
Other practice location 1
5850 W Flagler St
Miami, FL 33144-3363
Phone (305) 263-9590
Other practice location 2
15529 Bull Run Rd
Miami Lakes, FL 33014-7004
Phone (305) 328-8922
Other practice location 3
1738 W 49th St Ste 10
Hialeah, FL 33012-3457
Phone (305) 698-8432
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9398403 | FL | MD | Family Medicine Physician |
| F04180293 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somos Vida Medical Center, LLC | Single Specialty | Current | Accepting new patients |
Locations
4910 E 2nd Ave
Hialeah, FL 33013
Phone (305) 400-9454
4064 SW 69th Ave
Miramar, FL 33023
Phone (954) 239-8847
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Hialeah, FL
- NPI 1699365569
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593043200000",
"number": "1568959682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7925 NW 12TH ST STE 201",
"city": "DORAL",
"state": "FL",
"postal_code": "331261821",
"telephone_number": "305-874-3909",
"fax_number": "305-874-3916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 NW 27TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331477734",
"telephone_number": "305-960-7668",
"fax_number": "786-310-7347"
}
],
"practiceLocations": [
{
"address_1": "5850 W Flagler St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331443363",
"country_code": "US",
"telephone_number": "305-263-9590",
"fax_number": "305-263-9657",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15529 Bull Run Rd",
"address_purpose": "LOCATION",
"city": "Miami Lakes",
"state": "FL",
"postal_code": "330147004",
"country_code": "US",
"telephone_number": "305-328-8922",
"fax_number": "786-224-6489",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1738 W 49th St Ste 10",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330123457",
"country_code": "US",
"telephone_number": "305-698-8432",
"fax_number": "305-698-8975",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANDO",
"first_name": "YUDITH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-13",
"last_updated": "2020-06-25",
"certification_date": "2020-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ARNP9398403",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "F04180293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.