Marcela Guadalupe Gaitan Mangas, APRN FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11022423 Issued in FL

Practice address

17654 SW 5TH CT
Pembroke Pines, FL 33029-4018

Phone

(786) 537-2359

NPI assigned

Oct 13, 2022

Last updated

Oct 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1568188274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17654 SW 5TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330294018",
            "telephone_number": "786-537-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17654 SW 5TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330294018",
            "telephone_number": "786-537-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAITAN MANGAS",
        "first_name": "MARCELA",
        "middle_name": "GUADALUPE",
        "credential": "APRN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11022423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Gadd
• Kompal Gadh, M.D.
• Julianna Kathleen Gage
• Gail P Ballweg MD PA
• Gevette Gailes
• David Gala Iglesia, LMHC
• Galatians Medical & Aesthetics LLC
• Wendy Julieth Galeas
• Galenos Medical Center Corp. (Galenos Medical Center Pembroke Pines)
• Pedro Jose Galiano Gonzalez

• Family Nurse Practitioner in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.