Individual provider Active NPI

Anell Beatriz Fundora

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1861031072
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA21154 Issued in FL
Practice address
10000 SW 56TH St Ste 12
Miami, FL 33165-7161
Phone
(407) 602-7442
Fax
(786) 631-4483
NPI assigned
Jan 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA21154 FL Primary

Addresses

Primary practice location

10000 SW 56TH St Ste 12
Miami, FL 33165-7161

Mailing address

8828 NW 112TH Ter
Hialeah Gardens, FL 33018-4534
Phone (305) 680-9629

Other practice location 1

4236 W 16th Ave
Hialeah, FL 33012-7624
Phone (786) 409-2646

Other practice location 2

8828 NW 112th Ter
Hialeah Gardens, FL 33018-4534
Phone (305) 600-3635

Other practice location 3

8828 NW 112th Ter
Hialeah Gardens, FL 33018-4534
Phone (305) 600-3635

Other identifiers 1

IdentifierTypeStateIssuer
104678700MedicaidFL

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

State licenses

LicenseStateTypeSpecialty
SA21154FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
F&a Speech Therapy Inc CurrentSince Jan 1, 2020 Accepting new patients
Azul Therapy Services, Inc CurrentSince Aug 17, 2025 Accepting new patients
Azul Therapy Services, Inc PastSince Aug 17, 2025 Accepting new patients
Amor Therapy Services Inc PastSince Mar 24, 2024 Accepting new patients

Locations

4236 W 16th Ave
Hialeah, FL 33012
Phone (786) 409-2646

Organizations & group practices 4

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": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1861031072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8828 NW 112TH TER",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184534",
            "telephone_number": "305-680-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SW 56TH ST STE 12",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657161",
            "telephone_number": "407-602-7442",
            "fax_number": "786-631-4483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4236 W 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330127624",
            "country_code": "US",
            "telephone_number": "786-409-2646",
            "fax_number": "786-953-6553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8828 NW 112th Ter",
            "address_purpose": "LOCATION",
            "city": "Hialeah Gardens",
            "state": "FL",
            "postal_code": "330184534",
            "country_code": "US",
            "telephone_number": "305-600-3635",
            "fax_number": "305-748-2994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8828 NW 112th Ter",
            "address_purpose": "LOCATION",
            "city": "Hialeah Gardens",
            "state": "FL",
            "postal_code": "330184534",
            "country_code": "US",
            "telephone_number": "305-600-3635",
            "fax_number": "305-748-2994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNDORA",
        "first_name": "ANELL",
        "middle_name": "BEATRIZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA21154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104678700",
            "state": "FL"
        }
    ],
    "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 Aug 7, 2026; 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.