Maria de Los Angeles Gonzalez, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11015786 Issued in FL

Practice address

3402 N Andrews Avenue Ext
Pompano Beach, FL 33064-2067

Phone

(954) 368-1302

Fax

(954) 656-3219

NPI assigned

Oct 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Prime Care Medical Center LLC

  • Family Medicine Physician
  • Miami Lakes, FL
  • NPI 1366298986
  Medicare reassignment
• Bwell Med Center Corp

  • Family Medicine Physician
  • Doral, FL
  • NPI 1902668536
  NPD

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1760145197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 E 19TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330134129",
            "telephone_number": "305-215-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 N ANDREWS AVENUE EXT",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330642067",
            "telephone_number": "954-368-1302",
            "fax_number": "954-656-3219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "567 E 19th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330134129",
            "country_code": "US",
            "telephone_number": "305-215-5198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MARIA DE LOS ANGELES",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11015786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Jorge Gonzalez Lavanderos
• Eliany De la Caridad Gonzalez Rivas
• Brenda Gonzalez, BSP
• Gabriela Gonzalez
• Jessica Gonzalez
• Yasmin Gonzalez
• Yoslaine Gonzalez
• Kelsey Meghan Good, PT, DPT, ATC
• Keisha A Goodison, D.O.
• Darrold Gooley, RN

• Family Nurse Practitioner in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.