Luis Gonzalez Otero, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11009691 Issued in FL

Practice address

777 E 25TH St Ste 212
Hialeah, FL 33013-3850

Phone

(786) 409-7329

Fax

(786) 409-7330

NPI assigned

Feb 28, 2022

Last updated

Apr 24, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Siul Medical Center

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1356287171
  Medicare reassignment NPD Authorized official
• Medical & Mental Services Inc

  • Community/Behavioral Health Agency
  • Hialeah, FL
  • NPI 1184488447
  Medicare reassignment NPD
• Magic Hands Medical & Community Health Center Inc

  • General Practice Physician
  • Miami, FL
  • NPI 1669768768
  Medicare reassignment

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1467108597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 NW 71ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331264363",
            "telephone_number": "786-923-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST STE 212",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133850",
            "telephone_number": "786-409-7329",
            "fax_number": "786-409-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ OTERO",
        "first_name": "LUIS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-28",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11009691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camila Gonzalez Mesa, RBT
• Yordan Gonzalez Montano
• Daniel Alejandro Gonzalez Mosquera
• Luisa Josefa Gonzalez Navarro
• Carlos A Gonzalez Orta
• Barbara Lorelys Gonzalez Pacheco
• Pedro Isaac Gonzalez Pacheco
• Miguel Mariano Gonzalez Pavon
• Mayelin Gonzalez Pedroza
• Frank Yasser Gonzalez Pena

• Family Nurse Practitioner in Hialeah, FL
• Providers in Hialeah, 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 Apr 24, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.