Individual provider Active NPI

Liset Gonzalez Sanchez

  • Acute Care Nurse Practitioner
  • Miami, FL
National Provider Identifier
1013742238
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN11034461 Issued in FL
Practice address
6200 Sunset Drive, Suite # 401
Miami, FL 33143
Phone
(305) 666-4633
NPI assigned
Sep 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN11034461 FL Primary

Addresses

Primary practice location

6200 Sunset Drive, Suite # 401
Miami, FL 33143

Mailing address

17070 SW 139TH PL
Miami, FL 33177-2720
Phone (786) 239-1408

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241218002923 FL Practitioner - Nurse Practitioner 8628505484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Medicine Associates PAGroup PAC ID 5991609992, 41 clinicians

Practice addresses (Care Compare)

6200 Sunset Dr
Suite 401
South Miami, FL 33143-4829
Phone (305) 666-4633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Medicine Associates PA CurrentSince Oct 1, 2024 Accepting new patients

Locations

2250 S Dixie Hwy
Miami, FL 33133
Phone (305) 666-4633

7700 N Kendall Dr
Ste 7712
Miami, FL 33156

12985 SW 130th Ct
Unit 110
Miami, FL 33186
Phone 30566646332401

6200 Sunset Dr
Ste 401
South Miami, FL 33143
Phone (305) 666-4633

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1931/brand/1/csg/41/fhir/r4
  • Direct secure messaging: liset.gonzalez.sanchez.1@1931.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1013742238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17070 SW 139TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772720",
            "telephone_number": "786-239-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SUNSET DRIVE, SUITE # 401",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33143",
            "telephone_number": "305-666-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ SANCHEZ",
        "first_name": "LISET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11034461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.