Individual provider Active NPI

Lina Andrea Gonzalez Quintero, FNP-BC

  • Nurse Practitioner
  • Coral Gables, FL
National Provider Identifier
1225580681
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11029805 Issued in FL
Practice address
250 Catalonia Ave Ste 303
Coral Gables, FL 33134-6730
Phone
(786) 310-7460
NPI assigned
Nov 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Nurse Practitioner 363L00000X 11029805 FL Primary

Addresses

Primary practice location

250 Catalonia Ave Ste 303
Coral Gables, FL 33134-6730

Mailing address

2325 NE 37TH Ter
Homestead, FL 33033-5146
Phone (786) 298-3141

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
I20241029000469 FL Practitioner - Nurse Practitioner 4981137098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monther Al-Halawani, MD, PAGroup PAC ID 9739371790, 2 clinicians

Practice addresses (Care Compare)

502 Corner Dr
Brandon, FL 33511-5724
Phone (813) 643-4722

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11029805FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monther Al-Halawani, MD, PA CurrentSince Oct 1, 2024 Accepting new patients

Locations

502 Corner Dr
Brandon, FL 33511
Phone (813) 643-4722

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1225580681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 NE 37TH TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330335146",
            "telephone_number": "786-298-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CATALONIA AVE STE 303",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346730",
            "telephone_number": "786-310-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ QUINTERO",
        "first_name": "LINA",
        "middle_name": "ANDREA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11029805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.