Individual provider Active NPI

Lilia A. Fernandez Gongora, MSN, APRN, AGPCNP-BC

  • Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1073295440
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11027790 Issued in FL
Practice address
261 N University Dr Ste 720
Plantation, FL 33324-2009
Phone
(305) 316-9263
NPI assigned
Aug 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN11027790 FL
Nurse Practitioner 363L00000X APRN11027790 FL Primary

Addresses

Primary practice location

261 N University Dr Ste 720
Plantation, FL 33324-2009

Mailing address

19561 NW 82ND CT
Hialeah, FL 33015-5985
Phone (305) 316-9263

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
I20240327001306 FL Practitioner - Nurse Practitioner 3678910510 Reassigns benefits to 2 organizations

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
Skin and Cancer AssociatesGroup PAC ID 1759284847, 65 clinicians

Practice addresses (Care Compare)

261 N University Dr
Suite 720
Plantation, FL 33324-2009
Phone (954) 473-6750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11027790FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Skin and Cancer Associates CurrentSince Jun 30, 2024 Accepting new patients
University of Miami CurrentSince Feb 18, 2024 Accepting new patients
University of Miami Nurse Practitioner CurrentSince Feb 18, 2024 Accepting new patients
University of Miami Current Accepting new patients
Skin and Cancer Associates CurrentSince Jul 1, 2025 Accepting new patients
University of Miami Past Accepting new patients

Locations

13660 S Jog Rd
Ste 8
Delray Beach, FL 33446
Phone (561) 637-4040

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1475 NW 12th Ave
#1
Miami, FL 33136
Phone (305) 243-5787

2925 NE 199th St
Ste 205
Miami, FL 33180
Phone (305) 933-6716

261 N University Dr
Ste 720
Plantation, FL 33324
Phone (954) 473-6750

7000 SW 62nd Ave
Ph S
South Miami, FL 33143
Phone (305) 443-2315

1560 Sawgrass Corporate Pkwy
Ste 220
Sunrise, FL 33323

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: lfernandez34054@direct.med.miami.edu
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1073295440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19561 NW 82ND CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155985",
            "telephone_number": "305-316-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 N UNIVERSITY DR STE 720",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242009",
            "telephone_number": "305-316-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ GONGORA",
        "first_name": "LILIA",
        "middle_name": "A.",
        "credential": "MSN, APRN, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11027790",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11027790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.