Individual provider Active NPI

Idalberto H. Gonzalez, ARNP

  • Adult Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1366772899
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9244953 Issued in FL
Practice address
492 NW 47TH Ave
Miami, FL 33126-2164
Phone
(786) 326-7549
Fax
(305) 428-2739
NPI assigned
Jan 6, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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 ARNP9244953 FL Primary

Addresses

Primary practice location

492 NW 47TH Ave
Miami, FL 33126-2164

Mailing address

492 NW 47TH Ave
Miami, FL 33126-2164
Phone (786) 326-7549

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
I20260601003854 FL Practitioner - Nurse Practitioner 2668488461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jose Perez-Tirse MD PAGroup PAC ID 3870668866, 5 clinicians

Practice addresses (Care Compare)

5190 SW 8 St
Coral Gables, FL 33134-2476
Phone (305) 385-8290

8200 SW 117TH Ave
Suite 208
Miami, FL 33183-4825
Phone (305) 226-8484

955 NW 3Rd St
Miami, FL 33128-1274
Phone (305) 416-5700

Hospital & facility affiliations

  • HCA Florida Kendall Hospital Hospital, Miami, FL, CCN 100209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9244953FLMDAdult Health Nurse 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.

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": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1366772899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 NW 47TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262164",
            "telephone_number": "786-326-7549",
            "fax_number": "305-428-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 NW 47TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262164",
            "telephone_number": "786-326-7549",
            "fax_number": "305-428-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "IDALBERTO",
        "middle_name": "H.",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9244953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.