NPIMap

Individual provider Active NPI

Eusebio De Jesus Gonzalez Alvarez, FNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1457839987
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9439986 Issued in FL
Practice address
14036 SW 90TH Ave Apt Aa101
Miami, FL 33176-7143
Phone
(786) 344-7187
NPI assigned
Aug 6, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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 9439986 FL Primary

Addresses

Primary practice location

14036 SW 90TH Ave Apt Aa101
Miami, FL 33176-7143

Mailing address

14036 SW 90TH Ave Apt Aa101
Miami, FL 33176-7143
Phone (786) 344-7187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191028001174 FL Practitioner - Nurse Practitioner 1759613508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Medical Management LLCGroup PAC ID 6305256678, 24 clinicians
Victor Lopez de Mendoza, MD PLLCGroup PAC ID 3274718226, 8 clinicians

Practice addresses (Care Compare)

2001 W 66TH St
Hialeah, FL 33016-1801
Phone (305) 823-5000

3661 S Miami Ave
Miami, FL 33133-4214
Phone (786) 717-8988

9415 Sunset Dr
Suite 151
Miami, FL 33173-5492

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9439986FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Medical Management, LLC. CurrentSince Apr 9, 2021 Accepting new patients
Victor Lopez de Mendoza, MD PLLC CurrentSince Sep 1, 2019 Accepting new patients

Locations

9415 Sunset Dr
Ste 151
Miami, FL 33173
Phone (305) 315-2707

3661 S Miami Ave
Ste 901
Miami, FL 33133
Phone (305) 856-5057

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

Organizations & group practices 2

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 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1457839987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14036 SW 90TH AVE APT AA101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767143",
            "telephone_number": "786-344-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14036 SW 90TH AVE APT AA101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767143",
            "telephone_number": "786-344-7187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ ALVAREZ",
        "first_name": "EUSEBIO",
        "middle_name": "DE JESUS",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9439986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.