Individual provider Active NPI

Christopher Luis Gonzalez Perera, RN, BSN

  • Gerontology Registered Nurse
  • Hialeah, FL
National Provider Identifier
1073108973
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Registered NurseTaxonomy code 163WG0600X
License
9547263 Issued in FL
Practice address
557 W 45TH PL
Hialeah, FL 33012-3862
Phone
(305) 458-0848
NPI assigned
Mar 3, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X 9547263 FL Primary

Addresses

Primary practice location

557 W 45TH PL
Hialeah, FL 33012-3862

Mailing address

557 W 45TH PL
Hialeah, FL 33012-3862
Phone (305) 458-0848

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherOTHER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chrisrobin120@outlook.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
9547263FLMDGerontology Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1073108973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 W 45TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123862",
            "telephone_number": "305-458-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 W 45TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123862",
            "telephone_number": "305-458-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ PERERA",
        "first_name": "CHRISTOPHER",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "FL",
            "license": "9547263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chrisrobin120@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "personal use",
            "address_1": "557 W 45th Pl",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330123862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.