Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Inieddy Rodriguez Bornot

Individual provider Family Nurse Practitioner · NPI 1043085178

Inieddy Rodriguez Bornot is a Nurse Practitioner in Miami Beach, Florida. Qualified in 2023, 3 years ago. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
Specialties on file
2

Practice location Address checks out

4302 Alton Rd
Miami Beach, FL 33140-2891
Phone: (786) 584-5560
Fax: (786) 584-5061
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN11029790 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 11029790 (FL)

Record details

NPI number1043085178
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 20, 2023
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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