Myriam Viviana Perdomo Gonzalez, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11029159 Issued in FL

Practice address

1970 S University Dr Ste 24
Davie, FL 33324-5846

Phone

(954) 800-5686

Fax

(954) 838-5414

NPI assigned

Oct 12, 2023

Last updated

May 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sante Plus Medical Center

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1639759475
  NPD
• Sante Plus Medical Center

  • Clinic/Center
  • Immokalee, FL
  • NPI 1407514904
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1366223695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 NW 122ND AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763504",
            "fax_number": "954-838-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 S UNIVERSITY DR STE 24",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333245846",
            "telephone_number": "954-800-5686",
            "fax_number": "954-838-5414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3155 Lake Worth Rd",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "FL",
            "postal_code": "334616917",
            "country_code": "US",
            "telephone_number": "954-803-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERDOMO GONZALEZ",
        "first_name": "MYRIAM",
        "middle_name": "VIVIANA",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norma C Penuela, RD
• People First PT LLC (People First PT)
• Exilda Peralta Hernandez
• Arielle Peralte
• Brenden P. Peraza, R.T.
• Rebeca Pereda Ricardo
• Carla Pereira
• Carolyn Pereira
• Reynaldo Antonio Perez Caraballe
• Marlon Alejandro Perez Catala, RBT

• Family Nurse Practitioner in Davie, FL
• Providers in Davie, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.