SYDALG FUENTES FNP-BC - NPI 1679133763 - Nurse Practitioner in Miami, FL

Q: What is Sydalg Fuentes's NPI number?

The NPI number for Sydalg Fuentes is 1679133763. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Q: What is Sydalg Fuentes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sydalg Fuentes was last updated on April 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Sydalg Fuentes Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SYDALG FUENTES FNP-BC (NPI 1679133763) is an individual family provider in Miami, Florida, licensed in Florida (F06191766) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1679133763

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSYDALG FUENTESCredential: FNP-BC

Location Address11211 SW 152ND STMiami, FL 33157-1101

Mailing Address1000 Nw 57th Ct Ste 400Miami, FL 33126-3292 · (786) 758-3165

Phone(305) 255-1355

Fax(305) 255-1355

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 19, 2019

Last NPPES UpdateApril 22, 20263 updates tracked since enumeration

NPPES CertifiedApril 22, 2026

✔ NPI 1679133763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · F06191766

11211 SW 152ND ST, Miami, FL 33157

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sydalg Fuentes Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597142323

PECOS Enrollment IDI20220517003216

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33157 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERESA J GALDONA-GORASSINI PAC

Physician Assistant