Individual provider Active NPI

Jorge Rafael Gonzalez Trasobares

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1497531057
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11028394 Issued in FL
Practice address
4578 W 12TH Ave
Hialeah, FL 33012-3325
Phone
(305) 828-1989
Fax
(786) 791-1253
NPI assigned
Sep 7, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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 APRN11028394 FL Primary

Addresses

Primary practice location

4578 W 12TH Ave
Hialeah, FL 33012-3325

Mailing address

12126 SW 249TH St
Homestead, FL 33032-5963

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
I20230928004141 FL Practitioner - Nurse Practitioner 0042664740 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
TCM Quality Services,Inc CurrentSince May 1, 2025 Accepting new patients
Comprehensive Counseling and Wellness Center LLC CurrentSince May 1, 2025 Accepting new patients
Hermes Clinical Center LLC CurrentSince Aug 1, 2025 Accepting new patients
Iliana Hernandez MD PA CurrentSince Sep 10, 2023 Accepting new patients

Locations

2804 Del Prado Blvd S
Ste 106
Cape Coral, FL 33904
Phone (239) 240-7257

1235 N Krome Ave
Homestead, FL 33030
Phone (305) 242-5336

330 SW 27th Ave
Ste 305
Miami, FL 33135
Phone (305) 487-3989

10201 Hammocks Blvd
Ste 123
Miami, FL 33196
Phone (305) 385-5582

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1497531057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12126 SW 249TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330325963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4578 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123325",
            "telephone_number": "305-828-1989",
            "fax_number": "786-791-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ TRASOBARES",
        "first_name": "JORGE",
        "middle_name": "RAFAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-07",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11028394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.