Individual provider Active NPI

Yenisleidys Gonzalez Perez

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1316769268
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11034408 Issued in FL
Practice address
7787 SW 86TH St Apt E410
Miami, FL 33143-7294
Phone
(786) 715-2415
NPI assigned
Oct 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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 11034408 FL Primary

Addresses

Primary practice location

7787 SW 86TH St Apt E410
Miami, FL 33143-7294

Mailing address

7787 SW 86TH St Apt E410
Miami, FL 33143-7294
Phone (786) 715-2415

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
I20250908002886 FL Practitioner - Nurse Practitioner 4587166517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2580 SW 107TH Ave
Miami, FL 33165-2400

PO Box
Suite 1173
Salem, UT 84653

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11034408FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Wound and Ostomy Care PastSince Jan 19, 2025 Accepting new patients

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": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1316769268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7787 SW 86TH ST APT E410",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331437294",
            "telephone_number": "786-715-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7787 SW 86TH ST APT E410",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331437294",
            "telephone_number": "786-715-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ PEREZ",
        "first_name": "YENISLEIDYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11034408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.