Individual provider Active NPI

Dana Garcia Gonzalez, ARNP

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1114687696
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11017305 Issued in FL
Practice address
12030 SW 129TH CT Ste 206
Miami, FL 33186-4584
Phone
(305) 432-4034
NPI assigned
Dec 23, 2021
Last updated
Jul 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Nurse Practitioner 363L00000X APRN11017305 FL Primary

Addresses

Primary practice location

12030 SW 129TH CT Ste 206
Miami, FL 33186-4584

Mailing address

12030 SW 129TH CT Ste 206
Miami, FL 33186-4584

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
I20220721001332 FL Practitioner - Nurse Practitioner 5395126312 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11017305FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
San Miguel Community Wellness Center Multi-Specialty CurrentSince Jul 8, 2022 Accepting new patients
Internal Medicine of Miami Gardens Inc Multi-Specialty CurrentSince Oct 16, 2023 Accepting new patients
Rheumatology & Arthritis Consultants of So Florida LLC Multi-Specialty CurrentSince Oct 16, 2023 Accepting new patients
Dreams Mental Health Inc Multi-Specialty CurrentSince Jul 1, 2022 Accepting new patients
San Miguel Community Wellness Center Multi-Specialty PastSince Apr 1, 2023 Accepting new patients

Locations

12030 SW 129th Ct
Ste 206
Miami, FL 33186
Phone (305) 432-4032

18300 NW 62nd Ave
Ste 300
Miami Gardens, FL 33015
Phone (305) 628-4600

15935 NW 57th Ave
Miami Lakes, FL 33014
Phone (786) 801-7577

6600 Cow Pen Rd
Ste 300
Miami Lakes, FL 33014
Phone (786) 953-5506

12741 Miramar Pkwy
Ste 103
Miramar, FL 33027
Phone (954) 433-9923

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1114687696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12030 SW 129TH CT STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12030 SW 129TH CT STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864584",
            "telephone_number": "305-432-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA GONZALEZ",
        "first_name": "DANA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11017305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.