Individual provider Active NPI

Yanelis De Leon Gonzalez, APRN

  • Family Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1336723659
Registry record updated Nov 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11043384 Issued in FL
Practice address
8840 W Long Acre Dr
Miramar, FL 33025-2742
Phone
(305) 978-1874
NPI assigned
May 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2025

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 11043384 FL Primary

Addresses

Primary practice location

8840 W Long Acre Dr
Miramar, FL 33025-2742

Mailing address

8840 W Long Acre Dr
Miramar, FL 33025-2742

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
I20260604004221 FL Practitioner - Nurse Practitioner 1153892617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8840 W Long Acre Dr
Miramar, FL 33025-2742

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11043384FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Solutions Agency, LLC CurrentSince May 16, 2021 Accepting new patients
Lifetime Solutions Agency, LLC CurrentSince Oct 1, 2021 Accepting new patients

Locations

801 S Federal Hwy
Ste 835
Dania Beach, FL 33004
Phone (954) 613-7683

Organizations & group practices 3

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": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763769600000",
    "number": "1336723659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 W LONG ACRE DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 W LONG ACRE DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252742",
            "telephone_number": "305-978-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON GONZALEZ",
        "first_name": "YANELIS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2025-11-22",
        "certification_date": "2025-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11043384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.