Individual provider Active NPI

Ramona Luisa Gomez Castellanos, MSN, APRN, FNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1104469519
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11001688 Issued in FL
Practice address
17153 SW 149TH PL
Miami, FL 33187-6733
Phone
(786) 263-2494
NPI assigned
Oct 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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 11001688 FL Primary

Addresses

Primary practice location

17153 SW 149TH PL
Miami, FL 33187-6733

Mailing address

17153 SW 149TH PL
Miami, FL 33187-6733
Phone (786) 263-2494

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
I20200819001824 FL Practitioner - Nurse Practitioner 9830515956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12016 SW 132ND CT
Miami, FL 33186-6409

19180 SW 127TH PL
Miami, FL 33177-3728

7100 Pines Blvd
Suite 22
Hollywood, FL 33024-7394

Hospital & facility affiliations

  • HCA Florida Kendall Hospital Hospital, Miami, FL, CCN 100209

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11001688FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RLGC Services Corp Family CurrentSince Mar 17, 2020 Accepting new patients

Locations

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1104469519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17153 SW 149TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331876733",
            "telephone_number": "786-263-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17153 SW 149TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331876733",
            "telephone_number": "786-263-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ CASTELLANOS",
        "first_name": "RAMONA",
        "middle_name": "LUISA",
        "credential": "MSN, APRN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11001688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.