Active NPI
Equilibrium Community Care
- Psychiatric/Mental Health Nurse Practitioner
- Miami, FL
National Provider Identifier
1477282978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- EQUILIBRIUM COMMUNITY CARE
- Practice address
- 9570 SW 107TH Ave Ste 201
Miami, FL 33176-2791 - Phone
- (305) 219-3240
- NPI assigned
- Jun 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yanet Bonet Gongora, APRN
- Title
- President
- Phone
- (305) 219-3240
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
9570 SW 107TH Ave Ste 201
Miami, FL 33176-2791
Mailing address
9570 SW 107TH Ave Ste 201
Miami, FL 33176-2791
Phone (305) 219-3240
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663200000000",
"number": "1477282978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9570 SW 107TH AVE STE 201",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762791",
"telephone_number": "305-219-3240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9570 SW 107TH AVE STE 201",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762791",
"telephone_number": "305-219-3240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EQUILIBRIUM COMMUNITY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-09",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A",
"authorized_official_last_name": "BONET GONGORA",
"authorized_official_first_name": "YANET",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-219-3240",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.