Individual provider Active NPI

Silvana De Melo Gondolfo, P.A.

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1558272567
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003109PA Issued in PR
Practice address
6498 SW 24TH St
Miami, FL 33155-1949
Phone
(786) 323-6973
Fax
(305) 907-8788
NPI assigned
Sep 16, 2026
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003109PA PR Primary

Addresses

Primary practice location

6498 SW 24TH St
Miami, FL 33155-1949

Mailing address

3300 NE 192ND St Apt 1111
Miami, FL 33180-2433
Phone (786) 323-6973

Other practice location 1

7480 Fairway Dr Ste 108
Miami Lakes, FL 33014-6879
Phone (786) 323-6973

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003109PAPRMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1558272567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 NE 192ND ST APT 1111",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331802433",
            "telephone_number": "786-323-6973",
            "fax_number": "305-907-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6498 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551949",
            "telephone_number": "786-323-6973",
            "fax_number": "305-907-8788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7480 Fairway Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330146879",
            "country_code": "US",
            "telephone_number": "786-323-6973",
            "fax_number": "305-907-8788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE MELO GONDOLFO",
        "first_name": "SILVANA",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "003109PA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.