Individual provider Active NPI

Mayte Gentil Gomez, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1710475587
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9377438 Issued in FL
Practice address
3536 SW 22 Terrace
Miami, FL 33145
Phone
(786) 362-0102
NPI assigned
Apr 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9377438 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9377438 FL Primary

Addresses

Primary practice location

3536 SW 22 Terrace
Miami, FL 33145

Mailing address

3536 SW 22 Terrace
Miami, FL 33145
Phone (786) 362-0102

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
I20230918004330 FL Practitioner - Nurse Practitioner 4789048133 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Silvia Silva-Duluc, MD PAGroup PAC ID 8224045463, 3 clinicians

Practice addresses (Care Compare)

9995 SW 72ND St
Suite 208
Miami, FL 33173-4662
Phone (305) 412-6034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9377438FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestar Mental Wellness Center Inc, CMHC CurrentSince Aug 22, 2025 Accepting new patients
Silvia Silva-Duluc, MD PA CurrentSince Aug 11, 2023 Accepting new patients

Locations

3416 W 84th St
Ste 108
Hialeah, FL 33018
Phone (305) 557-1555

9995 Sunset Dr
Ste 208
Miami, FL 33173
Phone (305) 412-6730

Organizations & group practices 2

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": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1710475587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 SW 22 TERRACE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33145",
            "telephone_number": "786-362-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 SW 22 TERRACE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33145",
            "telephone_number": "786-362-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTIL GOMEZ",
        "first_name": "MAYTE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9377438",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9377438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.