Individual provider Active NPI

Reinaldo Gonzalez Laportilla, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1104270032
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9335405 Issued in FL
Practice address
9761 SW 16TH Ter
Miami, FL 33165-7615
Phone
(786) 308-6609
NPI assigned
Apr 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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 ARNP9335405 FL Primary

Addresses

Primary practice location

9761 SW 16TH Ter
Miami, FL 33165-7615

Mailing address

9761 SW 16TH Ter
Miami, FL 33165-7615
Phone (786) 308-6609

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
I20171007000380 FL Order and Referring Only - Nurse Practitioner 7113292715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: reinaldo.gonzalezlaportill.p1@direct.besturology.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1104270032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9761 SW 16TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657615",
            "telephone_number": "786-308-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9761 SW 16TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657615",
            "telephone_number": "786-308-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ LAPORTILLA",
        "first_name": "REINALDO",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9335405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.