Active NPI
Lorena Del Valle Fuenmayor, MD
- Family Medicine Physician
- Florida City, FL
National Provider Identifier
1619080819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ACN 211
- Practice address
- 101 S Redland Rd
Florida City, FL 33034-4630 - Phone
- (305) 246-2844
- Fax
- (305) 246-2822
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ACN 211 | FL | Primary |
Addresses
Primary practice location
101 S Redland Rd
Florida City, FL 33034-4630
Mailing address
101 S Redland Rd
Florida City, FL 33034-4630
Phone (305) 246-2844
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13.651 | Other | PR | MEDICAL LICENSE |
| ACN 211 | Other | FL | MEDICAL LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACN 211 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good News Care Center | Past | Accepting new patients |
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.
-
- VA Clinic/Center
- Florida City, FL
- NPI 1629304936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334793600000",
"number": "1619080819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 S REDLAND RD",
"city": "FLORIDA CITY",
"state": "FL",
"postal_code": "330344630",
"telephone_number": "305-246-2844",
"fax_number": "305-246-2822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S REDLAND RD",
"city": "FLORIDA CITY",
"state": "FL",
"postal_code": "330344630",
"telephone_number": "305-246-2844",
"fax_number": "305-246-2822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENMAYOR",
"first_name": "LORENA",
"middle_name": "DEL VALLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2012-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ACN 211",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "13.651",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ACN 211",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Florida City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.