Elizabeth Gonzalez Gonzalez

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11014914 Issued in FL

Practice address

15621 SW 143Rd Ave
Miami, FL 33177-0900

Phone

(786) 443-9543

NPI assigned

Aug 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mart Medical Group Inc

  • General Practice Physician
  • Miami, FL
  • NPI 1801427463
  Medicare reassignment NPD
• Progressive Medical Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1013592195
  Medicare reassignment NPD
• Ullan Medical Office Inc

  • Primary Care Clinic/Center
  • Miami, FL
  • NPI 1669356184
  Medicare reassignment NPD

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

{
    "created_epoch": "1630195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630195200000",
    "number": "1558038299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15621 SW 143RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331770900",
            "telephone_number": "786-443-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15621 SW 143RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331770900",
            "telephone_number": "786-443-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ GONZALEZ",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-29",
        "last_updated": "2021-08-29",
        "certification_date": "2021-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11014914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Gonzalez Gonzalez
• Anamarys Gonzalez Gonzalez
• Ariadna Gonzalez Gonzalez
• Arianna Gonzalez Gonzalez
• Belkis Leonila Gonzalez Gonzalez
• Ernesto Javier Gonzalez Gonzalez
• Esther Lidia Gonzalez Gonzalez, APRN
• Gretter Gonzalez Gonzalez
• Ian Enrique Gonzalez Gonzalez
• Iraida Gonzalez Gonzalez

• Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2021; 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.

Verify at the official NPI Registry.