Active NPI
Sydalg Fuentes, FNP-BC
- Family Nurse Practitioner
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F06191766
- Practice address
- 11211 SW 152ND St
Miami, FL 33157-1101 - Phone
- (305) 255-1355
- Fax
- (305) 255-1355
- NPI assigned
- Jun 19, 2019
- Last updated
- Apr 22, 2026
- Sex
- Female
- Sole proprietor
- No
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 | F06191766 | FL | Primary |
Addresses
Primary practice location
11211 SW 152ND St
Miami, FL 33157-1101
Mailing address
1000 NW 57TH CT Ste 400
Miami, FL 33126-3292
Phone (786) 758-3165
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11211 SW 152ND St
Miami, FL 33157-1101
Phone (305) 255-1355
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F06191766 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Dade Primary Care, LLC | Current | Accepting new patients | |
| Ramon Leon MD LLC | Current | Accepting new patients | |
| Claremedica Viking LLC | Current | Accepting new patients |
Locations
27455 S Dixie Hwy
Unit 1
Homestead, FL 33032
Phone (305) 245-3247
600 N Homestead Blvd
Homestead, FL 33030
Phone (305) 509-6868
1000 NW 57th Ct
Ste 400
Miami, FL 33126
11211 SW 152nd St
Miami, FL 33157
Phone (305) 255-1355
9835 E Hibiscus St
Palmetto Bay, FL 33157
Phone (305) 238-8561
7000 SW 62nd Ave
Ste 210
South Miami, FL 33143
Phone (305) 661-9100
Interoperability endpoints
- https://api.platform.athenahealth.com/15805/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Homestead, FL
- NPI 1992520118
-
dba Claremedica Viking of North Florida
- Family Medicine Physician
- Miami, FL
- NPI 1285748285
-
- Family Medicine Physician
- South Miami, FL
- NPI 1396984464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1679133763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 NW 57TH CT STE 400",
"city": "MIAMI",
"state": "FL",
"postal_code": "331263292",
"telephone_number": "786-758-3165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11211 SW 152ND ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331571101",
"telephone_number": "305-255-1355",
"fax_number": "305-255-1355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES",
"first_name": "SYDALG",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-19",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "F06191766",
"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 Apr 22, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.