Active NPI
Danaydez Fraga
- Contractor
- Miami, FL
National Provider Identifier
1619142213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 230541100
- Practice address
- 10701 SW 34TH St
Miami, FL 33165-3614 - Phone
- (305) 559-9065
- NPI assigned
- Apr 24, 2008
- Last updated
- Apr 24, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 230541100 | FL | Primary |
Addresses
Primary practice location
10701 SW 34TH St
Miami, FL 33165-3614
Mailing address
10701 SW 34TH St
Miami, FL 33165-3614
Phone (305) 559-9065
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 230541100 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 230541100 | FL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208995200000",
"number": "1619142213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10701 SW 34TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331653614",
"telephone_number": "305-559-9065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10701 SW 34TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331653614",
"telephone_number": "305-559-9065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAGA",
"first_name": "DANAYDEZ",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-24",
"last_updated": "2008-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "FL",
"license": "230541100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "230541100",
"state": "FL"
}
],
"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 Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.