Organization Active NPI

Abella Family Medical Group Corp

  • General Practice Physician
  • Coral Springs, FL
National Provider Identifier
1972339638
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ABELLA FAMILY MEDICAL GROUP CORP
Practice address
2855 N University Dr Ste 220
Coral Springs, FL 33065-1403
Phone
(786) 317-1544
NPI assigned
Sep 10, 2024
Last updated
Nov 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Yunaika Abella Fernandez
Title
Coo
Phone
(786) 317-1544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

2855 N University Dr Ste 220
Coral Springs, FL 33065-1403

Mailing address

2819 NW 122ND Ave
Coral Springs, FL 33065-3237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241201000032 FL Part B Supplier - Clinic/Group Practice 7315472230 Receives reassigned benefits from 2 practitioners
Practice locations: Coral Springs, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2314841Abella Family Medical Group Corp2855 N University Dr Suite 220, Coral Springs, FL 33065Certificate of waiverDec 1, 2026

National Provider Directory

National Provider Directory

Locations

2855 N University Dr
Ste 220
Coral Springs, FL 33065
Phone (786) 317-1544

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1972339638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 NW 122ND AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 N UNIVERSITY DR STE 220",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651403",
            "telephone_number": "786-317-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABELLA FAMILY MEDICAL GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "ABELLA FERNANDEZ",
        "authorized_official_first_name": "YUNAIKA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "786-317-1544"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.