Individual provider Active NPI

Maydalis Vega Gonzalez

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1306768486
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11049493 Issued in FL
Practice address
1301 Palm Ave Apt 202
Hialeah, FL 33010-3462
Phone
(786) 338-3749
NPI assigned
Jul 29, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11049493 FL Primary

Addresses

Primary practice location

1301 Palm Ave Apt 202
Hialeah, FL 33010-3462

Mailing address

1301 Palm Ave Apt 202
Hialeah, FL 33010-3462
Phone (786) 338-3749

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

NPI Registry JSON

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

{
    "created_epoch": "1785283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1306768486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PALM AVE APT 202",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103462",
            "telephone_number": "786-338-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PALM AVE APT 202",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103462",
            "telephone_number": "786-338-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA GONZALEZ",
        "first_name": "MAYDALIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-29",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11049493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.