Active NPI
Scarlet Benilde Gonzalez
- Surgical Assistant
- Miami, FL
National Provider Identifier
1124649561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 21-495
- Practice address
- 9300 SW 72ND St
Miami, FL 33173-3205 - Phone
- (305) 330-4959
- NPI assigned
- Apr 27, 2020
- Reactivated
- Oct 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 21-495 | FL | Primary |
Addresses
Primary practice location
9300 SW 72ND St
Miami, FL 33173-3205
Mailing address
2101 Blackstone Landing Dr
Kissimmee, FL 34758-1706
Phone (407) 961-9782
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21-495 | FL | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Platinum Surgical Assistants | Current | Accepting new patients |
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.
-
- Surgical Technologist
- Fulton, MD
- NPI 1962824896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1124649561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 BLACKSTONE LANDING DR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347581706",
"telephone_number": "407-961-9782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 SW 72ND ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733205",
"telephone_number": "305-330-4959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "SCARLET",
"middle_name": "BENILDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-27",
"last_updated": "2022-01-25",
"certification_date": "2022-01-25",
"deactivation_date": "2021-08-23",
"reactivation_date": "2021-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "FL",
"license": "21-495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.