Individual provider Active NPI

Ernesto Pena Morgado, NP

  • Family Nurse Practitioner
  • Coral Gables, FL
National Provider Identifier
1659967370
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11010533 Issued in FL
Practice address
2695 S Le Jeune Rd Ste 300
Coral Gables, FL 33134-5840
Phone
(305) 446-0330
NPI assigned
Dec 16, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11010533 FL Primary

Addresses

Primary practice location

2695 S Le Jeune Rd Ste 300
Coral Gables, FL 33134-5840

Mailing address

121 SW 113TH Ave Apt 102
Miami, FL 33174-4207
Phone (786) 291-0564

Other practice location 1

3700 W 12th Ave Ste 202
Hialeah, FL 33012-4174
Phone (305) 929-0249

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221109000104 FL Practitioner - Nurse Practitioner 4385011006 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fenix Medical Patners, LLC CurrentSince Sep 10, 2024 Accepting new patients
Celen Medical Group, Corp PastSince Jan 21, 2022 Accepting new patients

Locations

3700 W 12th Ave
Ste 202
Hialeah, FL 33012
Phone (305) 929-0249

2695 S Le Jeune Rd
Ste 300
Miami, FL 33134
Phone (305) 441-9120

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1659967370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SW 113TH AVE APT 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331744207",
            "telephone_number": "786-291-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 S LE JEUNE RD STE 300",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345840",
            "telephone_number": "305-446-0330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 W 12th Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330124174",
            "country_code": "US",
            "telephone_number": "305-929-0249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA MORGADO",
        "first_name": "ERNESTO",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-16",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.