Individual provider Active NPI

Rayda Esther Gonzalez, ARNP,C

  • Adult Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1366406944
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP1744032 Issued in FL
Practice address
2974 SW 8TH St
Miami, FL 33135-2827
Phone
(305) 631-3000
Fax
(305) 631-3006
NPI assigned
Apr 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP1744032 FL Primary

Addresses

Primary practice location

2974 SW 8TH St
Miami, FL 33135-2827

Mailing address

2974 SW 8TH St
Miami, FL 33135-2827
Phone (305) 631-3000

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
I20050915000203 FL Practitioner - Nurse Practitioner 6709819204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2974 SW 8TH St
Optum of Little Havana
Miami, FL 33135-2827
Phone (305) 631-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Management of Florida Inc CurrentSince Feb 13, 2016 Accepting new patients

Locations

2974 SW 8th St
Miami, FL 33135
Phone (305) 631-3000

Interoperability endpoints

  • Direct secure messaging: rayda.gonzalez@wellmed.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498176000000",
    "number": "1366406944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2974 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352827",
            "telephone_number": "305-631-3000",
            "fax_number": "305-631-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2974 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352827",
            "telephone_number": "305-631-3000",
            "fax_number": "305-631-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "RAYDA",
        "middle_name": "ESTHER",
        "name_prefix": "Mrs.",
        "credential": "ARNP,C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2017-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP1744032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.