Individual provider Active NPI

Rafael Gonzalez

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1316420128
Registry record updated Sep 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9438397 Issued in FL
Practice address
15354 SW 178TH St
Miami, FL 33187-7726
Phone
(305) 316-4785
NPI assigned
Sep 9, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2018

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 ARNP9438397 FL Primary

Addresses

Primary practice location

15354 SW 178TH St
Miami, FL 33187-7726

Mailing address

15354 SW 178TH St
Miami, FL 33187-7726
Phone (305) 316-4785

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
I20200123003042 FL Practitioner - Nurse Practitioner 3476697087 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9438397FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Associates, LLC. CurrentSince Dec 23, 2019 Accepting new patients
Harmonycares Complete Health Services, PLLC CurrentSince Jan 7, 2026 Accepting new patients

Locations

6090 SW 40th St
Miami, FL 33155
Phone (305) 661-6336

10860 SW 88th St
Miami, FL 33176
Phone (305) 552-5545

606 W Flagler St
Miami, FL 33130
Phone (305) 545-9292

Organizations & group practices 2

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": "1536451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536451200000",
    "number": "1316420128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15354 SW 178TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331877726",
            "telephone_number": "305-316-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15354 SW 178TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331877726",
            "telephone_number": "305-316-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "RAFAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-09",
        "last_updated": "2018-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9438397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.