Active NPI
Elayne Gabriela Gonzalez
- Case Manager/Care Coordinator
- Hialeah Gardens, FL
National Provider Identifier
1275008864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- CBHCMS.0101122
- Practice address
- 9711 NW 126TH Ter
Hialeah Gardens, FL 33018-7408 - Phone
- (786) 479-5548
- NPI assigned
- Oct 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CBHCMS.0101122 | FL | Primary |
Addresses
Primary practice location
9711 NW 126TH Ter
Hialeah Gardens, FL 33018-7408
Mailing address
9711 NW 126TH Ter
Hialeah, FL 33018-7408
Phone (786) 342-5962
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CBHCM.0103066 | Other | FL | FLORIDA CERTIFICATION BOARD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CBHCMS.0101122 | FL | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1275008864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9711 NW 126TH TER",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330187408",
"telephone_number": "786-342-5962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9711 NW 126TH TER",
"city": "HIALEAH GARDENS",
"state": "FL",
"postal_code": "330187408",
"telephone_number": "786-479-5548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ELAYNE",
"middle_name": "GABRIELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-10",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": "CBHCMS.0101122",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA CERTIFICATION BOARD",
"identifier": "CBHCM.0103066",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hialeah Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.