Jenry Urdanivia, MA42629

Primary specialty

ContractorTaxonomy code 171W00000X

License

MA 42629 Issued in FL

Practice address

2980 SW 26TH St
Miami, FL 33133-2118

Phone

(786) 271-1581

NPI assigned

Feb 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• ABA Rehabilitation Center, Inc

  • Clinic/Center
  • Miami, FL
  • NPI 1770051047
  NPD Authorized official

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689712754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 SW 26TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332118",
            "telephone_number": "786-271-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 SW 26TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332118",
            "telephone_number": "786-271-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URDANIVIA",
        "first_name": "JENRY",
        "name_prefix": "Mr.",
        "credential": "MA42629",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "MA 42629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Urbiztondo, APRN
• Augusto Michele Urdaneta Stanco
• Maria Urdaneta
• Roberto Urdaneta
• Silvia Patricia Urdaneta
• Ernesto A Urday-Esslinger, M.D.
• Claudia L Urday, DMD
• Gilda Mariel Urena
• Gabrielle Ureta, DO
• Rachel Urgell

• Contractor in Miami, FL
• Providers in Miami, FL by specialty
• Contractor in Florida

• 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.

Verify at the official NPI Registry.