Active NPI
Paula Maria Gonzalez Perez
- Family Nurse Practitioner
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11003765
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11003765 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pgic Healthcare Inc | Current | Accepting new patients | |
| CTMD Medical Center PA | Past | Accepting new patients | |
| Cano Health, LLC | Past | Accepting new patients |
Locations
1495 Forest Hill Blvd
Ste A3
West Palm Beach, FL 33406
Phone (561) 270-0267
Interoperability endpoints
- 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.
-
dba Prime Health Care Center
- Primary Care Clinic/Center
- West Palm Beach, FL
- NPI 1447929468
-
- General Practice Physician
- West Palm Beach, FL
- NPI 1306566609
-
- Family Medicine Physician
- Palm Springs, FL
- NPI 1962066951
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Delray Beach, FL
- NPI 1992452155
-
- Home Health Agency
- Boynton Beach, FL
- NPI 1316260532
-
- Home Health Agency
- West Palm Beach, FL
- NPI 1437776135
-
- Home Health Agency
- Lake Worth, FL
- NPI 1043809486
-
- Home Health Agency
- Greenacres, FL
- NPI 1588338800
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.