Individual provider Active NPI

Maria Elena Rendon de Daher, RN,MW,SA-C, EO

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1770940934
Registry record updated Dec 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11004836 Issued in FL
Practice address
777 E 25TH St
Hialeah, FL 33013-3825
Phone
(305) 693-3535
NPI assigned
Jan 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2019

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9470901 FL
Midwife 176B00000X 343 FL
Respiratory/Developmental/Rehabilitative Specialist/Technologist 225500000X 3246 FL
Surgical Assistant 246ZC0007X 14-346 FL
Nurse Practitioner 363L00000X ARNP11004836 FL
Family Nurse Practitioner 363LF0000X APRN11004836 FL Primary

Addresses

Primary practice location

777 E 25TH St
Hialeah, FL 33013-3825

Mailing address

10936 NW 67TH St
Doral, FL 33178-3744
Phone (786) 514-8272

Other practice location 1

1951 SW 172nd Ave # 212
Miramar, FL 33029-5593
Phone (954) 507-4494

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
9470901FLMDRegistered Nurse
343FLMDMidwife
3246FLMDRespiratory/Developmental/Rehabilitative Specialist/Technologist
14-346FLMDSurgical Assistant
ARNP11004836FLMDNurse Practitioner
APRN11004836FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576281600000",
    "number": "1770940934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10936 NW 67TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331783744",
            "telephone_number": "786-514-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133825",
            "telephone_number": "305-693-3535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1951 SW 172nd Ave # 212",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330295593",
            "country_code": "US",
            "telephone_number": "954-507-4494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENDON DE DAHER",
        "first_name": "MARIA",
        "middle_name": "ELENA",
        "credential": "RN,MW,SA-C, EO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2019-12-14",
        "certification_date": "2019-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9470901",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "343",
            "primary": false
        },
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "FL",
            "license": "3246",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "14-346",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP11004836",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11004836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2019; 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.