Individual provider Active NPI

Anedys Hernandez Prado, MD

  • General Practice Physician
  • Florida City, FL
National Provider Identifier
1669164760
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1639 Issued in FL
Practice address
751 W Palm Dr
Florida City, FL 33034-3223
Phone
(786) 377-0120
Fax
(305) 248-6106
NPI assigned
May 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X ACN1639 FL Primary

Addresses

Primary practice location

751 W Palm Dr
Florida City, FL 33034-3223

Mailing address

6100 Blue Lagoon Dr Ste 365
Miami, FL 33126-7010
Phone (786) 322-7333

Other identifiers 1

IdentifierTypeStateIssuer
124410200MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241107000140 FL Practitioner - General PracticePractitioner - Obstetrics/Gynecology 2961936422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Medical Group of Florida City, LLC.Group PAC ID 8426295254, 3 clinicians

Practice addresses (Care Compare)

751 W Palm Dr
Florida City, FL 33034-3223
Phone (786) 377-0120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ACN1639FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Group of Florida City, LLC. Multi-Specialty CurrentSince Aug 1, 2025 Accepting new patients
Suncoast Community Health Centers Inc Past Accepting new patients

Locations

751 W Palm Dr
Homestead, FL 33034
Phone (786) 377-0120

6100 Blue Lagoon Dr
Ste 365
Miami, FL 33126
Phone (786) 322-7333

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": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1669164760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 BLUE LAGOON DR STE 365",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331267010",
            "telephone_number": "786-322-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 W PALM DR",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330343223",
            "telephone_number": "786-377-0120",
            "fax_number": "305-248-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ PRADO",
        "first_name": "ANEDYS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124410200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florida City, FL

Sources for this page

Verify at the official NPI Registry.