Individual provider Active NPI

Miriala Gonzalez

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1629668785
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11030874 Issued in FL
Practice address
875 E 41St St
Hialeah, FL 33013-2453
Phone
(786) 600-7560
Fax
(786) 648-5503
NPI assigned
Jan 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Family Nurse Practitioner 363LF0000X APRN11030874 FL Primary

Addresses

Primary practice location

875 E 41St St
Hialeah, FL 33013-2453

Mailing address

5858 W 18TH Ave
Hialeah, FL 33012-7597

Other practice location 1

4526 Palm Ave
Hialeah, FL 33012-4034
Phone (786) 600-7560

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
I20240820004035 FL Practitioner - Nurse Practitioner 9931647013 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11030874FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Erick Unlimited II, LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

875 E 41st St
Hialeah, FL 33013
Phone (786) 447-2391

4526 Palm Ave
Hialeah, FL 33012
Phone (786) 600-7560

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1629668785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5858 W 18TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 E 41ST ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330132453",
            "telephone_number": "786-600-7560",
            "fax_number": "786-648-5503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4526 Palm Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330124034",
            "country_code": "US",
            "telephone_number": "786-600-7560",
            "fax_number": "786-648-5503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MIRIALA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11030874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.