Individual provider Active NPI

Mayelin Gonzalez Alonso, ARNP, NP-C

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1750745733
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9361097 Issued in FL
Practice address
4385 W 16TH Ave
Hialeah, FL 33012-7628
Phone
(305) 824-0637
Fax
(305) 824-0628
NPI assigned
Apr 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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 ARNP 9361097 FL Primary

Addresses

Primary practice location

4385 W 16TH Ave
Hialeah, FL 33012-7628

Mailing address

15322 SW 123Rd Ave
Miami, FL 33177-6802

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
I20230306002930 FL Practitioner - Nurse Practitioner 2466825872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silvana Gonzalez Reiley MD LLCGroup PAC ID 6406160266, 2 clinicians

Practice addresses (Care Compare)

7950 NW 53Rd St
Suite 208
Doral, FL 33166-4637
Phone (786) 452-1067

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 9361097FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Silvana Gonzalez Reiley MD LLC CurrentSince Jan 15, 2023 Accepting new patients

Locations

4385 W 16th Ave
Hialeah, FL 33012
Phone (305) 824-0637

7950 NW 53rd St
Ste 208
Miami, FL 33166
Phone (786) 452-1067

Organizations & group practices 1

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1750745733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15322 SW 123RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331776802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4385 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127628",
            "telephone_number": "305-824-0637",
            "fax_number": "305-824-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ ALONSO",
        "first_name": "MAYELIN",
        "credential": "ARNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9361097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.