Individual provider Active NPI

George Cienfuegos, FNP-BC

  • Family Nurse Practitioner
  • Miami Gardens, FL
National Provider Identifier
1811738602
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024027163 Issued in FL
Practice address
19277 NW 27TH Ave
Miami Gardens, FL 33056-2596
Phone
(786) 355-9646
NPI assigned
Jun 4, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2024027163 FL Primary

Addresses

Primary practice location

19277 NW 27TH Ave
Miami Gardens, FL 33056-2596

Mailing address

19277 NW 27TH Ave
Miami Gardens, FL 33056-2596
Phone (786) 355-9646

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241106004251 FL Practitioner - Nurse Practitioner 8820522378 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2024027163FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Medical Specialists LLC CurrentSince Nov 1, 2024 Accepting new patients
Orlando Inpatient Medicine, PA CurrentSince Oct 1, 2024 Accepting new patients

Locations

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1507 S Hiawassee Rd
Ste 206
Orlando, FL 32835
Phone (407) 445-9545

Interoperability endpoints

  • Direct secure messaging: george.cienfuegos.1@3342.direct.athenahealth.com

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": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1811738602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19277 NW 27TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330562596",
            "telephone_number": "786-355-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19277 NW 27TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330562596",
            "telephone_number": "786-355-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIENFUEGOS",
        "first_name": "GEORGE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2024027163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

Verify at the official NPI Registry.