Individual provider Active NPI

Sandra E Gonzalez, FNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1023719713
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11024771 Issued in FL
Practice address
9601 SW 142ND Ave Apt 212
Miami, FL 33186-6857
Phone
(786) 281-4254
NPI assigned
Mar 10, 2023
Last updated
Mar 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11024771 FL Primary

Addresses

Primary practice location

9601 SW 142ND Ave Apt 212
Miami, FL 33186-6857

Mailing address

9601 SW 142ND Ave Apt 212
Miami, FL 33186-6857

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
I20240502001965 FL Practitioner - Nurse Practitioner 5193165504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hispanic Health Enterprises LLCGroup PAC ID 5395962195, 6 clinicians

Practice addresses (Care Compare)

4990 Golden Gate Pkwy
Naples, FL 34116-6962
Phone (239) 692-8309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11024771FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hispanic Health Enterprises LLC CurrentSince Mar 24, 2024 Accepting new patients
Patient Transport of Naples Inc CurrentSince Mar 24, 2024 Accepting new patients

Locations

4990 Golden Gate Pkwy
Naples, FL 34116
Phone (239) 692-8309

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9587/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1023719713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 SW 142ND AVE APT 212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 SW 142ND AVE APT 212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866857",
            "telephone_number": "786-281-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "SANDRA",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11024771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.