Individual provider Active NPI

Paula Maria Gonzalez Perez

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1720635386
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11003765 Issued in FL
Practice address
1217 S Military TRL Ste C
West Palm Beach, FL 33415-4600
Phone
(561) 642-6309
NPI assigned
Aug 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11003765 FL Primary

Addresses

Primary practice location

1217 S Military TRL Ste C
West Palm Beach, FL 33415-4600

Mailing address

4250 Park LN
West Palm Beach, FL 33406-7554
Phone (786) 567-2561

Other practice location 1

926 S Military Trl Ste 944
West Palm Beach, FL 33415-3910
Phone (561) 425-8000

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
I20200820000556 FL Practitioner - Nurse Practitioner 7012333123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1495 Forest Hill Blvd
Suite A3
West Palm Beach, FL 33406-6073
Phone (561) 270-0267

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11003765FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pgic Healthcare Inc CurrentSince Jul 19, 2021 Accepting new patients
CTMD Medical Center PA Past Accepting new patients
Cano Health, LLC PastSince Sep 4, 2022 Accepting new patients

Locations

1495 Forest Hill Blvd
Ste A3
West Palm Beach, FL 33406
Phone (561) 270-0267

Interoperability endpoints

  • Direct secure messaging: paula.gonzalez@ctmdpa.directbygreenway.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1720635386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 PARK LN",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334067554",
            "telephone_number": "786-567-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 S MILITARY TRL STE C",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334154600",
            "telephone_number": "561-642-6309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "926 S Military Trl Ste 944",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334153910",
            "country_code": "US",
            "telephone_number": "561-425-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ PEREZ",
        "first_name": "PAULA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2022-09-08",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11003765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.