Andrea Cristina Urdaneta, MSN, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11015640 Issued in FL

Practice address

9900 NW 43Rd Ter
Doral, FL 33178-3336

Phone

(786) 546-5446

NPI assigned

Sep 28, 2021

Last updated

Sep 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medtour 2 LLC

  dba Doral Primary Care

  • Primary Care Clinic/Center
  • Doral, FL
  • NPI 1861170920
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1861163990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 NW 43RD TER",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331783336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 NW 43RD TER",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331783336",
            "telephone_number": "786-546-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URDANETA",
        "first_name": "ANDREA",
        "middle_name": "CRISTINA",
        "credential": "MSN, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9467045",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11015640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrea.urdanetafb@outlook.com",
            "affiliation": "N",
            "address_1": "9900 NW 43rd Ter",
            "city": "Doral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331783336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• University Health Care Pharmacy, Inc.
• University Medical Supply. Inc
• Univida Medical Center LLC
• Uns Group Inc.
• Up Behavior LLC
• Adriana Milena Uribe, APRN
• Liliana L Uribe, LCSW
• Roberto Uriel, MD
• Karen Alejandra Uriostegui, CF-SLP
• Urotelemedicine, LLC (Florida Urological Center)

• Nurse Practitioner in Doral, FL
• Providers in Doral, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.