Active NPI
Adriana L Fajardo, RN BSN
- Technician
- Miami, FL
National Provider Identifier
1679609200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician
- License
- RN2541622
- Practice address
- 20011 NE 10TH Place Way
Miami, FL 33179-2505 - Phone
- (786) 499-9955
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Technician | 374700000X | RN2541622 | FL | Primary |
Addresses
Primary practice location
20011 NE 10TH Place Way
Miami, FL 33179-2505
Mailing address
20011 NE 10TH Place Way
Miami, FL 33179-2505
Phone (305) 654-0361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2541622 | FL | MD | Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Testing Company LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Urology Registered Nurse
- Miami, FL
- NPI 1306584610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679609200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20011 NE 10TH PLACE WAY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331792505",
"telephone_number": "305-654-0361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20011 NE 10TH PLACE WAY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331792505",
"telephone_number": "786-499-9955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAJARDO",
"first_name": "ADRIANA",
"middle_name": "L",
"credential": "RN BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": "FL",
"license": "RN2541622",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.