Organization Active NPI

Maria L Fundora Cabrera DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Miami, FL
National Provider Identifier
1619357902
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
MARIA L FUNDORA CABRERA DPM PA
Practice address
1380 NE Miami Gardens Dr Ste 209
Miami, FL 33179-4709
Phone
(305) 945-7575
Fax
(305) 945-7585
NPI assigned
Jun 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Maria L Fundora, DPM
Title
Owner
Phone
(904) 554-7996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1380 NE Miami Gardens Dr Ste 209
Miami, FL 33179-4709

Mailing address

1380 NE Miami Gardens Dr Ste 209
Miami, FL 33179-4709
Phone (904) 554-7996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151112001619 FL Part B Supplier - Clinic/Group Practice 5799095246 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1619357902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR STE 209",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794709",
            "telephone_number": "904-554-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR STE 209",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794709",
            "telephone_number": "305-945-7575",
            "fax_number": "305-945-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA L FUNDORA CABRERA DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "FUNDORA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-554-7996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "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 Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.