Active NPI
Idalmis Gonzalez Rodriguez, APRN
- Behavior Analyst
- Miami Lakes, FL
National Provider Identifier
1316632854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-26-88466
- Practice address
- 14506 NW 88TH Ave
Miami Lakes, FL 33018-8030 - Phone
- (786) 678-7091
- NPI assigned
- Apr 10, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11023197 | FL | |
| Behavior Analyst | 103K00000X | 1-26-88466 | FL | Primary |
Addresses
Primary practice location
14506 NW 88TH Ave
Miami Lakes, FL 33018-8030
Mailing address
14506 NW 88TH Ave
Miami Lakes, FL 33018-8030
Phone (786) 678-7091
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 |
|---|---|---|---|
| 11023197 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1316632854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14506 NW 88TH AVE",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330188030",
"telephone_number": "786-678-7091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14506 NW 88TH AVE",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330188030",
"telephone_number": "786-678-7091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ RODRIGUEZ",
"first_name": "IDALMIS",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-10",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11023197",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-26-88466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.