EDUARDO FANILLA MD
NPI 1699710905
Pediatrics - Pediatric Emergency Medicine in Miami, FL

Active since June 19, 2006PECOS Enrolled
6963 SW 117TH AVE, MIAMI, FL 33183(786) 595-3225(786) 595-7812 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eduardo Fanilla Md NPPES

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

EDUARDO FANILLA MD (NPI 1699710905) is an individual pediatric emergency medicine provider in Miami, Florida, licensed in Florida (ME82787) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699710905
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameEDUARDO FANILLACredential: MD
Location Address6963 SW 117TH AVEMiami, FL 33183-2803
Mailing Address12301 Sw 124th CtMiami, FL 33186-5476 · (786) 573-3152 · Fax (786) 573-3152
Fax(786) 595-7812
Sole ProprietorNo
Enumeration DateJune 19, 2006
Last NPPES UpdateJuly 17, 2024
NPPES CertifiedJuly 17, 2024
NPI 1699710905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in FL · ME82787
Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

6963 SW 117TH AVE, Miami, FL 33183

Other Identifiers 1

Medicaid262088000FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Eduardo Fanilla Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 4

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

Pediatrics
6963 SW 117TH AVE
MIAMI, FL 33183
Pediatrics
6963 SW 117TH AVE
MIAMI, FL 33183
Clinic/Center (Multi-Specialty)
6963 SW 117TH AVE
MIAMI, FL 33183
Nurse Practitioner (Family)
6963 SW 117TH AVE
MIAMI, FL 33183

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eduardo Fanilla's NPI number?

The NPI number for Eduardo Fanilla is 1699710905. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is Eduardo Fanilla located?

Eduardo Fanilla practices at 6963 SW 117th Ave, Miami, FL 33183. The listed phone number is (786) 595-3225.

What is Eduardo Fanilla's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Eduardo Fanilla enrolled in Medicare?

Yes. Eduardo Fanilla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eduardo Fanilla was last updated on July 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.