Individual provider Active NPI

Gelsy Naranjo

  • Physician Assistant
  • Hialeah, FL
National Provider Identifier
1114516358
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2099 Issued in PR
Practice address
695 E 8TH Ave
Hialeah, FL 33010-4611
Phone
(786) 908-3527
NPI assigned
Jan 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2099 PR Primary
General Practice Physician 208D00000X 37770 OK

Addresses

Primary practice location

695 E 8TH Ave
Hialeah, FL 33010-4611

Mailing address

695 E 8TH Ave
Hialeah, FL 33010-4611
Phone (786) 908-3527

Other practice location 1

660 Parrington Oval
Norman, OK 73019-3003
Phone (405) 325-0311

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

State licenses

LicenseStateTypeSpecialty
2099PRMDNutritionist
37770OKMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1114516358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 E 8TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104611",
            "telephone_number": "786-908-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 E 8TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104611",
            "telephone_number": "786-908-3527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 Parrington Oval",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730193003",
            "country_code": "US",
            "telephone_number": "405-325-0311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NARANJO",
        "first_name": "GELSY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "2099",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "37770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jun 6, 2024; 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.