Mayreth Gonzalez Pena, RN, CBHCMS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

CBHCMS101245 Issued in FL

Practice address

14505 Commerce Way Ste 750
Miami Lakes, FL 33016-1514

Phone

(305) 362-9989

NPI assigned

Apr 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1033851845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8306 COMMERCE WAY APT 241",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161610",
            "telephone_number": "786-398-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14505 COMMERCE WAY STE 750",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161514",
            "telephone_number": "305-362-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ PENA",
        "first_name": "MAYRETH",
        "credential": "RN, CBHCMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "CBHCMS101245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Gonzalez Fernandez
• Ada Gonzalez Fleitas, CBHCM, RN
• Addy Gonzalez Gonzalez
• Luis Enrique Gonzalez Junco, DMD
• Liliana Gonzalez Leal
• Ariel Gonzalez Perez, APRN
• Nayvi Gonzalez Perez, RBT
• Mariayi Gonzalez Reyes
• Idalmis Gonzalez Rodriguez, APRN
• Adiary I Gonzalez Sosa

• Case Manager/Care Coordinator in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.