Active NPI
Yenisvel Gonzalez, ARNP
- Family Nurse Practitioner
- Coral Gables, FL
National Provider Identifier
1144719667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9232280
- Practice address
- 5101 SW 8TH St Ste 200
Coral Gables, FL 33134-2442 - Phone
- (305) 262-6060
- Fax
- (305) 262-6080
- NPI assigned
- May 10, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9232280 | FL | Primary |
Addresses
Primary practice location
5101 SW 8TH St Ste 200
Coral Gables, FL 33134-2442
Mailing address
814 NW 36TH Ave Apt 405
Miami, FL 33125-3894
Phone (786) 245-9839
Other practice location 1
15201 NW 79 th Ct
Miami Lakes, FL 33016
Phone (954) 885-5595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102424600 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | sdelazaro@gastromedmiami.com |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9232280 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1144719667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 NW 36TH AVE APT 405",
"city": "MIAMI",
"state": "FL",
"postal_code": "331253894",
"telephone_number": "786-245-9839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5101 SW 8TH ST STE 200",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331342442",
"telephone_number": "305-262-6060",
"fax_number": "305-262-6080"
}
],
"practiceLocations": [
{
"address_1": "15201 NW 79 th Ct",
"address_purpose": "LOCATION",
"city": "Miami Lakes",
"state": "FL",
"postal_code": "33016",
"country_code": "US",
"telephone_number": "954-885-5595",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "YENISVEL",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-10",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9232280",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102424600",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "sdelazaro@gastromedmiami.com",
"affiliation": "N",
"address_1": "5101 SW 8th St Ste 200",
"city": "Coral Gables",
"state": "FL",
"country_code": "US",
"postal_code": "331342442",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.