Individual provider Active NPI

Amarilys Gonzalez

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1043618903
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9247053 Issued in FL
Practice address
15874 SW 85TH LN
Miami, FL 33193-5208
Phone
(786) 400-6849
NPI assigned
Dec 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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 ARNP9247053 FL Primary

Addresses

Primary practice location

15874 SW 85TH LN
Miami, FL 33193-5208

Mailing address

15874 SW 85TH LN
Miami, FL 33193-5208
Phone (786) 400-6849

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
I20151014000441 FL Practitioner - Nurse Practitioner 4981866597 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9247053FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BKB Med LLC CurrentSince Sep 19, 2022 Accepting new patients
Clinica Las Mercedes, LLC Current Accepting new patients
Clinica Las Mercedes, LLC CurrentSince Mar 10, 2015 Accepting new patients
Clinica Las Mercedes, LLC CurrentSince Mar 10, 2015 Accepting new patients

Locations

13814 SW 152nd St
Miami, FL 33177
Phone (305) 238-2262

1479 NW 27th Ave
Miami, FL 33125
Phone (305) 633-3776

9853 SW 40th St
Miami, FL 33165
Phone (305) 223-4685

6355 NW 36th St
Ste 1100
Virginia Gardens, FL 33166

Organizations & group practices 4

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": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1043618903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15874 SW 85TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935208",
            "telephone_number": "786-400-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15874 SW 85TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935208",
            "telephone_number": "786-400-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "AMARILYS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9247053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.