Individual provider Active NPI

Eduardo Antonio Goenaga Iglesias, FNP,ARNP,CSA

  • Family Nurse Practitioner
  • North Miami, FL
National Provider Identifier
1194184192
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11023831 Issued in FL
Practice address
390 NE 135TH St
North Miami, FL 33161-3967
Phone
(872) 231-3162
NPI assigned
Feb 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X
Family Nurse Practitioner 363LF0000X 11023831 FL Primary

Addresses

Primary practice location

390 NE 135TH St
North Miami, FL 33161-3967

Mailing address

PO Box 22239
New York, NY 10087-0001
Phone (702) 899-0595

Other practice location 1

800 NW 95th St
Miami, FL 33150-2032
Phone (872) 231-3162

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
I20240422001995 FL Practitioner - Nurse Practitioner 2365881497 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11023831FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
National Health Rehabilitation LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

1615 Miami Rd
Ft Lauderdale, FL 33316
Phone (954) 523-5673

800 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-1550

390 NE 135th St
North Miami, FL 33161
Phone (305) 895-4804

12505 NE 16th Ave
North Miami, FL 33161
Phone (305) 891-1210

2811 Campus Hill Dr
Tampa, FL 33612
Phone (813) 972-9700

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": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1194184192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22239",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870001",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 NE 135TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331613967",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 NW 95th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331502032",
            "country_code": "US",
            "telephone_number": "872-231-3162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOENAGA IGLESIAS",
        "first_name": "EDUARDO",
        "middle_name": "ANTONIO",
        "credential": "FNP,ARNP,CSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-18",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11023831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.