Individual provider Active NPI

Antonella Bonvecchio Machado, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Coral Gables, FL
National Provider Identifier
1639554520
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1639554520 Issued in FL
Practice address
100 Almeria Ave Ste 300
Coral Gables, FL 33134-6024
Phone
(786) 417-3453
Fax
(305) 564-8338
NPI assigned
Jul 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9289347 FL
Family Nurse Practitioner 363LF0000X 1639554520 FL Primary

Addresses

Primary practice location

100 Almeria Ave Ste 300
Coral Gables, FL 33134-6024

Mailing address

100 Almeria Ave Ste 300
Coral Gables, FL 33134-6024
Phone (786) 417-3453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9289347FLMDRegistered Nurse
1639554520FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1639554520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ALMERIA AVE STE 300",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346024",
            "telephone_number": "786-417-3453",
            "fax_number": "305-564-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ALMERIA AVE STE 300",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346024",
            "telephone_number": "786-417-3453",
            "fax_number": "305-564-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHADO",
        "first_name": "ANTONELLA",
        "middle_name": "BONVECCHIO",
        "credential": "ARNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9289347",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1639554520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.