Individual provider Active NPI

Doris Cifuentes, MD

  • Internal Medicine Physician
  • Aventura, FL
National Provider Identifier
1912914003
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME136939 Issued in FL
Practice address
21110 Biscayne Blvd Ste 203
Aventura, FL 33180-1251
Phone
(305) 948-9595
Fax
(305) 948-9292
NPI assigned
Aug 1, 2006
Last updated
Feb 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME136939 FL Primary

Addresses

Primary practice location

21110 Biscayne Blvd Ste 203
Aventura, FL 33180-1251

Mailing address

PO Box 4189
Deerfield Beach, FL 33442-4189
Phone (561) 406-6064

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090206000132 FL Practitioner - Internal Medicine 6608834379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15240 NW 89TH Ave
Hialeah, FL 33018-1373

2460 Old Moultrie Rd
Suite 1
St Augustine, FL 32086-4197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME136939FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Point Medical Associates Inc Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Lake Worth Medical PA Internal Medicine Past Accepting new patients
Columbia Medical Group PastSince Aug 23, 2021 Accepting new patients
Primary Care Physicians Group Past Accepting new patients
Lina L Feaster PA PastSince Jan 2, 2004 Accepting new patients

Locations

5302 1st St
Bradenton, FL 34203

3820 Tampa Rd
Ste 202
Palm Harbor, FL 34684
Phone (727) 785-4540

9550 US Highway 19
Ste 20
Port Richey, FL 34668
Phone (727) 310-0188

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1912914003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4189",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334424189",
            "telephone_number": "561-406-6064",
            "fax_number": "954-406-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21110 BISCAYNE BLVD STE 203",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801251",
            "telephone_number": "305-948-9595",
            "fax_number": "305-948-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIFUENTES",
        "first_name": "DORIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME136939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.