Individual provider Active NPI

Joel Cardenas Gonzalez, SA-C, APRN

  • Family Nurse Practitioner
  • Homestead, FL
National Provider Identifier
1265952063
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11029477 Issued in FL
Practice address
182 SE 22ND Ave
Homestead, FL 33033-7234
Phone
(786) 975-5875
NPI assigned
Jun 22, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11029477 FL Primary
Surgical Assistant 246ZC0007X 17-344 FL

Addresses

Primary practice location

182 SE 22ND Ave
Homestead, FL 33033-7234

Mailing address

182 SE 22ND Ave
Homestead, FL 33033-7234
Phone (786) 975-5875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17-344FLMDSurgical Assistant
11029477FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1265952063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 SE 22ND AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337234",
            "telephone_number": "786-975-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 SE 22ND AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337234",
            "telephone_number": "786-975-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS GONZALEZ",
        "first_name": "JOEL",
        "credential": "SA-C, APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11029477",
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "17-344",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.