Lisset Gonzalez Perez, APRN, MSN, FNP,, BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11011534 Issued in FL

Practice address

15611 SW 63Rd Ter
Miami, FL 33193-2803

Phone

(786) 263-8520

NPI assigned

Apr 28, 2021

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

Other names 1

• Lisset Gonzalez Perez Former name

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lakeside Medical LLCGroup PAC ID 4789919028, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
• Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, 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.

• Lakeside Medical LLC

  • Internal Medicine Physician
  • Pembroke Pines, FL
  • NPI 1356820286
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South Broward Hospital District

  • General Acute Care Hospital
  • Pembroke Pines, FL
  • NPI 1134102080
  Care Compare affiliation
• South Broward Hospital District

  • General Acute Care Hospital
  • Miramar, FL
  • NPI 1326021197
  Care Compare affiliation

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1659953610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15611 SW 63RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331932803",
            "telephone_number": "786-263-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15611 SW 63RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331932803",
            "telephone_number": "786-263-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ PEREZ",
        "first_name": "LISSET",
        "credential": "APRN, MSN, FNP,, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11011534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISSET",
            "last_name": "GONZALEZ PEREZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clara Anabel Gonzalez Perez
• Claudia Gonzalez Perez
• Daniela De la Caridad Gonzalez Perez
• Johann Daniel Gonzalez Perez
• Lazara Gonzalez Perez, RBT
• Lysette M Gonzalez Perez
• Mabel Gonzalez Perez
• Maria Caridad Gonzalez Perez
• Raimundo Gonzalez Perez
• Yanelis Gonzalez Perez

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, 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 Apr 28, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.