Hernan Josue Gonzalez, FNP
Individual provider Active NPI Family Nurse Practitioner · Montverde, FL
NPI 1497272603 · NPPES record last updated Feb 26, 2023
Key facts
- NPI
- 1497272603
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- ARNP9418709 (FL)
- Practice address
- 16903 Lakeside Dr Ste 4D
Montverde, FL 34756-3241 - Phone
- (407) 426-4337
- NPI assigned
- Aug 28, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ability Health Services, Inc
Ability Health Services and Rehabilitation LP
Central Florida Primary Physicians LLC
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
1565 Saxon Blvd
Suite 103
Deltona, FL 32725-5823
Phone (386) 574-1423
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190125001904 | FL | Practitioner - Nurse Practitioner | 5294072492 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9418709 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dispatchhealth-Florida Inc. | Current |
Accepting new patients | |
| Rmed LLC | Current | Accepting new patients | |
| Rmed LLC | Current |
Accepting new patients | |
| Central Florida Primary Physicians | Current |
Accepting new patients | |
| Rmed LLC | Current |
Accepting new patients | |
| Central Florida Primary Physicians LLC | Current |
Accepting new patients | |
| Idelis Fedeslinda Arias de la Torre | Past |
Accepting new patients | |
| Orlando Family Physicians, LLC | Past |
Accepting new patients | |
| Stephanie Kern Investment and Holding Company LLC | Past |
Accepting new patients | |
| Dispatchhealth-Florida Inc. | Past |
Accepting new patients | |
| My Home Doctor, LLC | Past | Accepting new patients |
Locations
1440 N Nova Rd
Ste 305
Daytona Beach, FL 32117
Phone (386) 258-8680
1565 Saxon Blvd
Ste 103
Deltona, FL 32725
Phone (386) 574-1423
7925 NW 12th St
Ste 129
Doral, FL 33126
Phone (786) 644-6413
8270 College Pkwy
Ste 103
Fort Myers, FL 33919
Phone (239) 322-3434
2600 Lake Lucien Dr
Ste 112
Maitland, FL 32751
Phone (321) 207-9029
3200 SW 34th Ave
Ste 702
Ocala, FL 34474
5421 Beaumont Center Blvd
Ste 660
Tampa, FL 33634
Phone (813) 551-1015
8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137
Interoperability endpoints
- hernan.gonzalez.1@13869.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9418709 | FL | Yes |
Addresses
Primary practice location
16903 Lakeside Dr Ste 4D
Montverde, FL 34756-3241
Mailing address
588 Brantley Terrace Way Unit 205
Altamonte Springs, FL 32714-0834
Phone (407) 795-2956
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F0816984 | Other | FL | AMERICAN CADEMY OF NURSE PRACTITIONERS |
Other providers in Montverde, FL
- Collaborative Corner
- Megan Dempsey
- Discovery Practice Management, Inc
- Andrea Helene Fishman
- Functional Solutions Therapy, LLC
- Grace Care Advocates LLC
- Linda Lester
- Mariah Lindsey
- Lozott
- Eugenia Lutz
All providers in Montverde, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.