Individual provider Active NPI

Livan Amaro Gonzalez, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1467225029
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11029570 Issued in FL
Practice address
15330 SW 52ND LN
Miami, FL 33185-4276
Phone
(786) 372-4338
NPI assigned
Nov 3, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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 11029570 FL Primary

Addresses

Primary practice location

15330 SW 52ND LN
Miami, FL 33185-4276

Mailing address

15330 SW 52ND LN
Miami, FL 33185-4276
Phone (786) 372-4338

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
I20250814001743 FL Order and Referring Only - Nurse Practitioner 0840503140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11029570FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1467225029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15330 SW 52ND LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854276",
            "telephone_number": "786-372-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15330 SW 52ND LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854276",
            "telephone_number": "786-372-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMARO GONZALEZ",
        "first_name": "LIVAN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11029570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.