Active NPI
Ernesto Pena Morgado, NP
- Family Nurse Practitioner
- Coral Gables, FL
National Provider Identifier
1659967370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11010533
- 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
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 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fenix Medical Patners, LLC | Current | Accepting new patients | |
| Celen Medical Group, Corp | Past | 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
- 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.
-
- Internal Medicine Physician
- Coral Gables, FL
- NPI 1215255187
-
- Multi-Specialty Clinic/Center
- Doral, FL
- NPI 1558803056
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.