Individual provider Active NPI

Yaraymi Garcia Gonzalez, MD

  • General Practice Physician
  • Tampa, FL
National Provider Identifier
1184131104
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN999 Issued in FL
Practice address
7206 N Armenia Ave
Tampa, FL 33604
Phone
(813) 933-2880
NPI assigned
Dec 29, 2017
Last updated
Jun 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN999 FL Primary

Addresses

Primary practice location

7206 N Armenia Ave
Tampa, FL 33604

Mailing address

7206 N Armenia Ave
Tampa, FL 33604-5201

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180723002055 FL Practitioner - General Practice 9234485681 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ACN999FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garcia&Gonzalezllc CurrentSince Apr 23, 2018 Accepting new patients

Locations

7206 N Armenia Ave
Tampa, FL 33604
Phone (813) 890-8001

Interoperability endpoints

  • Direct secure messaging: garciaandgonzalezllc.yamaymigarciagonzalez@139610.advancedmd-direct.com

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, 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": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1184131104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7206 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336045201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7206 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33604",
            "telephone_number": "813-933-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA GONZALEZ",
        "first_name": "YARAYMI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-29",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.