Individual provider Active NPI

Lendy Andres Gonzalez Rodriguez

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1336811652
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11014709 Issued in FL
Practice address
860 NW 42ND Ave Ste 101
Miami, FL 33126-4174
Phone
(305) 946-1526
Fax
(877) 550-1853
NPI assigned
Oct 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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 APRN11014709 FL Primary

Addresses

Primary practice location

860 NW 42ND Ave Ste 101
Miami, FL 33126-4174

Mailing address

4353 NW 77TH Ave FL 3
Miami, FL 33166-6736
Phone (305) 204-0333

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
I20211201002720 FL Practitioner - Nurse Practitioner 8820488091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Univida Medical Center LLCGroup PAC ID 7214316868, 22 clinicians

Practice addresses (Care Compare)

860 NW 42ND Ave
Suite 101
Miami, FL 33126-3667
Phone (305) 946-1526

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11014709FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Univida Medical Center LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

860 NW 42nd Ave
Fl 5
Miami, FL 33126
Phone (305) 504-7885

860 NW 42nd Ave
Ste 101
Miami, FL 33126
Phone 3059461526 ext. 61526

4353 NW 77th Ave
Fl 3
Miami, FL 33166
Phone (302) 204-0333

6400 SW 8th St
West Miami, FL 33144
Phone (305) 239-2515

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": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1336811652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4353 NW 77TH AVE FL 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331666736",
            "telephone_number": "305-204-0333",
            "fax_number": "305-359-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 NW 42ND AVE STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331264174",
            "telephone_number": "305-946-1526",
            "fax_number": "877-550-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ RODRIGUEZ",
        "first_name": "LENDY",
        "middle_name": "ANDRES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-05",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11014709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.