Individual provider Active NPI

Maria Del Pilar Ara Gonzalez

  • Family Nurse Practitioner
  • Cutler Bay, FL
National Provider Identifier
1740924356
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11011135 Issued in FL
Practice address
11055 SW 186TH St Ste 207
Cutler Bay, FL 33157-6842
Phone
(786) 692-5743
NPI assigned
Apr 21, 2022
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 11011135 FL Primary

Addresses

Primary practice location

11055 SW 186TH St Ste 207
Cutler Bay, FL 33157-6842

Mailing address

11055 SW 186TH St Ste 207
Cutler Bay, FL 33157-6842
Phone (786) 692-5743

Other identifiers 1

IdentifierTypeStateIssuer
11011135OtherFLLICENSE

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
I20230509000690 FL Practitioner - Nurse Practitioner 4385009760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lago Mental Health CorpGroup PAC ID 3577955491, 2 clinicians

Practice addresses (Care Compare)

11055 SW 186TH St
Suite 207
Cutler Bay, FL 33157-6842
Phone (786) 483-5523

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11011135FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lago Mental Health Corp CurrentSince Apr 1, 2023 Accepting new patients
Lago Mental Health Corp CurrentSince Apr 1, 2023 Accepting new patients

Locations

11055 SW 186th St
Ste 207
Cutler Bay, FL 33157
Phone (786) 483-5523

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": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1740924356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11055 SW 186TH ST STE 207",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576842",
            "telephone_number": "786-692-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11055 SW 186TH ST STE 207",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576842",
            "telephone_number": "786-692-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARA GONZALEZ",
        "first_name": "MARIA",
        "middle_name": "DEL PILAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11011135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "11011135",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

Verify at the official NPI Registry.