Individual provider Active NPI

Anneyd M Avalos Pena, MD

  • Internal Medicine Physician
  • Doral, FL
National Provider Identifier
1962863266
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME132628 Issued in FL
Practice address
8880 NW 20TH St
Doral, FL 33172-2636
Phone
(786) 925-3143
NPI assigned
Mar 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X TRN20593 FL
Internal Medicine Physician 207R00000X ME132628 FL Primary

Addresses

Primary practice location

8880 NW 20TH St
Doral, FL 33172-2636

Mailing address

9803 SW 134TH PL
Miami, FL 33186-2265
Phone (786) 925-3143

Other practice location 1

2500 NW 79th Ave Ste 265
Doral, FL 33122-1088
Phone (786) 925-3143

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
I20180709001938 FL Practitioner - Internal Medicine 9436405271 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN20593FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Colonia Medical Center Inc CurrentSince Jan 11, 2020 Accepting new patients
D&H Doral Research Center, LLC Current Accepting new patients
La Colonia Medical Center Inc CurrentSince Jan 11, 2020 Accepting new patients

Locations

167 W 23rd St
Hialeah, FL 33010
Phone (305) 889-3111

383 W 34th St
Hialeah, FL 33012
Phone (305) 608-1082

2500 NW 79th Ave
Ste 265
Miami, FL 33122
Phone (786) 375-6210

564 NE 125th St
North Miami, FL 33161
Phone (786) 542-1000

Organizations & group practices 3

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": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1962863266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9803 SW 134TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862265",
            "telephone_number": "786-925-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 NW 20TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722636",
            "telephone_number": "786-925-3143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 NW 79th Ave Ste 265",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331221088",
            "country_code": "US",
            "telephone_number": "786-925-3143",
            "fax_number": "305-274-1470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVALOS PENA",
        "first_name": "ANNEYD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-14",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN20593",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME132628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.