Individual provider Active NPI

Cesar Leonel Goya

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1326552431
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9354499 Issued in FL
Practice address
10920 W Flagler St Ste 201
Miami, FL 33174-1243
Phone
(786) 623-3915
Fax
(786) 623-3916
NPI assigned
Nov 28, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9354499 FL Primary

Addresses

Primary practice location

10920 W Flagler St Ste 201
Miami, FL 33174-1243

Mailing address

324 SW 134TH CT
Miami, FL 33184-1128
Phone (786) 499-1318

Other practice location 1

10920 W Flagler St Ste 201
Miami, FL 33174-1243
Phone (786) 623-3915

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
I20180419002359 FL Practitioner - Nurse Practitioner 9133482433 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9354499FLMDNurse Practitioner

Organizations & group practices 1

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": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1326552431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 SW 134TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841128",
            "telephone_number": "786-499-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 W FLAGLER ST STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741243",
            "telephone_number": "786-623-3915",
            "fax_number": "786-623-3916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10920 W Flagler St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331741243",
            "country_code": "US",
            "telephone_number": "786-623-3915",
            "fax_number": "786-623-3916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOYA",
        "first_name": "CESAR",
        "middle_name": "LEONEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-28",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9354499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.