Individual provider Active NPI

Nurys Clavero Gonzalez, APRN

  • Family Nurse Practitioner
  • Hialeah Gardens, FL
National Provider Identifier
1497587992
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11034750 Issued in FL
Practice address
11470 NW 87TH CT
Hialeah Gardens, FL 33018-1903
Phone
(305) 588-5225
NPI assigned
Aug 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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 11034750 FL Primary

Addresses

Primary practice location

11470 NW 87TH CT
Hialeah Gardens, FL 33018-1903

Mailing address

11470 NW 87TH CT
Hialeah Gardens, FL 33018-1903
Phone (305) 588-5225

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
I20250815004243 FL Order and Referring Only - Nurse Practitioner 6800395948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11034750FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1497587992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11470 NW 87TH CT",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330181903",
            "telephone_number": "305-588-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11470 NW 87TH CT",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330181903",
            "telephone_number": "305-588-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAVERO GONZALEZ",
        "first_name": "NURYS",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11034750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

Verify at the official NPI Registry.