Gloria Maria Gonzalez, APRN, NP-C
Individual provider Active NPI Family Nurse Practitioner · Miami, FL
NPI 1154944718 · NPPES record last updated May 18, 2020
Key facts
- NPI
- 1154944718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN9394176 (FL)
- Practice address
- 15261 SW 212TH St
Miami, FL 33187-4506 - Phone
- (786) 234-3189
- NPI assigned
- May 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 18
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health of South Florida Inc
Practice addresses (Care Compare)
19300 SW 376TH St
Florida City, FL 33034-6300
Phone (305) 246-4607
Hospital & facility affiliations
- Mariners Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201228002002 | FL | Practitioner - Nurse Practitioner | 1254744873 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9394176 | FL | MD | Registered Nurse |
| APRN9394176 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health of South Florida, Inc | Current |
Accepting new patients | |
| Community Health of South Florida Inc | Current | Accepting new patients | |
| Community Health of South Florida, Inc. | Current |
Accepting new patients | |
| Community Health of South Florida, Inc. | Past | Accepting new patients |
Locations
10300 SW 216th St
Cutler Bay, FL 33190
19300 SW 376th St
Homestead, FL 33034
Phone (305) 246-4607
91200 Overseas Hwy
Ste 17
Tavernier, FL 33070
Phone (305) 853-0002
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9394176 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN9394176 | FL | Yes |
Addresses
Primary practice location
15261 SW 212TH St
Miami, FL 33187-4506
Mailing address
15261 SW 212TH St
Miami, FL 33187-4506
Phone (786) 234-3189
NPI Registry JSON
{
"created_epoch": "1589760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589760000000",
"number": "1154944718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15261 SW 212TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331874506",
"telephone_number": "786-234-3189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15261 SW 212TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331874506",
"telephone_number": "786-234-3189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "GLORIA",
"middle_name": "MARIA",
"credential": "APRN, NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-18",
"last_updated": "2020-05-18",
"certification_date": "2020-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9394176",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9394176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
- Glenda Oria Gonzalez
- Gleyder Gonzalez Jr.
- Gleydis Gonzalez
- Gloria Bianca Gonzalez
- Gloria E Gonzalez
- Goar Gonzalez
- Graciela L. Gonzalez
- Gustavo Gonzalez
- Hansel Gonzalez
- Harold Selan Gonzalez
All providers in Miami, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.