Individual provider Active NPI

Sandy Gonzalez Lamar

  • Family Nurse Practitioner
  • Hialeah Gardens, FL
National Provider Identifier
1538994520
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11035160 Issued in FL
Practice address
8428 NW 103Rd St Apt 106
Hialeah Gardens, FL 33016-4675
Phone
(786) 314-4043
NPI assigned
Sep 7, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 675030 FL
Family Nurse Practitioner 363LF0000X 11035160 FL Primary

Addresses

Primary practice location

8428 NW 103Rd St Apt 106
Hialeah Gardens, FL 33016-4675

Mailing address

8428 NW 103Rd St Apt 106
Hialeah Gardens, FL 33016-4675
Phone (786) 314-4043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11035160FLMDFamily Nurse Practitioner
675030FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1725667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1538994520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8428 NW 103RD ST APT 106",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330164675",
            "telephone_number": "786-314-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8428 NW 103RD ST APT 106",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330164675",
            "telephone_number": "786-314-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ LAMAR",
        "first_name": "SANDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-07",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "675030",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.