Individual provider Active NPI

Miguel Angel Gonzalez Pinera Sr.

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1164934915
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10171324 Issued in FL
Practice address
8200 SW 117TH Ave Ste 112
Miami, FL 33183-4825
Phone
(305) 596-7432
NPI assigned
Nov 2, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F10171324 FL Primary

Addresses

Primary practice location

8200 SW 117TH Ave Ste 112
Miami, FL 33183-4825

Mailing address

2080 SW 155TH Ave
Miami, FL 33185-5831
Phone (305) 609-4696

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
I20250618000484 FL Practitioner - Nurse Practitioner 6103337944 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F10171324FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LC Health Management LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

8200 SW 117th Ave
Ste 112
Miami, FL 33183
Phone (305) 596-7432

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.

NPI Registry JSON

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1164934915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 SW 155TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855831",
            "telephone_number": "305-609-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 SW 117TH AVE STE 112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834825",
            "telephone_number": "305-596-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ PINERA",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-02",
        "last_updated": "2025-08-07",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F10171324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.