Active NPI
Jorge Rafael Gonzalez Trasobares
- Family Nurse Practitioner
- Hialeah, FL
National Provider Identifier
1497531057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11028394
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TCM Quality Services,Inc | Current | Accepting new patients | |
| Comprehensive Counseling and Wellness Center LLC | Current | Accepting new patients | |
| Hermes Clinical Center LLC | Current | Accepting new patients | |
| Iliana Hernandez MD PA | Current | 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.
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- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
- NPI 1275062135
-
- Primary Care Clinic/Center
- Miami, FL
- NPI 1952284994
-
- Family Medicine Physician
- Homestead, FL
- NPI 1932200953
-
- Case Management Agency
- Cape Coral, FL
- NPI 1609326727
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.