Individual provider Active NPI

Neriel Gonzalez Tamayo, SA-C

  • Registered Nurse
  • Hialeah, FL
National Provider Identifier
1750074381
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
236155 Issued in CT
Practice address
2175 W 52ND St Apt 215
Hialeah, FL 33016-8201
Phone
(305) 784-0012
NPI assigned
May 30, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 23-407 WI
Registered Nurse 163W00000X 236155 CT Primary

Addresses

Primary practice location

2175 W 52ND St Apt 215
Hialeah, FL 33016-8201

Mailing address

2175 W 52ND St Apt 215
Hialeah, FL 33016-8201
Phone (305) 784-0012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
236155CTMDRegistered Nurse
23-407WIMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1750074381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 W 52ND ST APT 215",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330168201",
            "telephone_number": "305-784-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 W 52ND ST APT 215",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330168201",
            "telephone_number": "305-784-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ TAMAYO",
        "first_name": "NERIEL",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-30",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "WI",
            "license": "23-407",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "236155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.