Danisleidys Fundora, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11004709 Issued in FL

Practice address

12741 Miramar Pkwy Ste 302
Miramar, FL 33027-2905

Phone

(954) 602-9723

Fax

(954) 602-9724

NPI assigned

Jan 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fdanisleidys235027@mhsdirect.net

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.

• Vitalmd Group Holding LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1871572032
  Medicare reassignment NPD

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1992344055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12741 MIRAMAR PKWY STE 302",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272905",
            "telephone_number": "954-602-9723",
            "fax_number": "954-602-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12741 MIRAMAR PKWY STE 302",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272905",
            "telephone_number": "954-602-9723",
            "fax_number": "954-602-9724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 S Pine Island Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333243178",
            "country_code": "US",
            "telephone_number": "954-602-9723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNDORA",
        "first_name": "DANISLEIDYS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11004709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@salomtangir.org",
            "affiliation": "N",
            "endpointDescription": "Secured email",
            "address_1": "12741 Miramar Pkwy Ste 302",
            "city": "Miramar",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330272905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leonardo Alexis Fuente Valdivia, RBT
• Alina B Fuentes
• Full of Life, LLC
• Fullness of Love Assisted Living Facility
• Maithili Fulton, M.D.
• Randi Alissa Futterman
• FXM Clinical Research Miramar
• FXM Research Miramar, Inc.
• G4T Goddie 4 Transportation
• Nargiza Kurbanova Gabbara

• Family Nurse Practitioner in Miramar, FL
• Providers in Miramar, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.