Carlos Deyber Gonzalez Castro, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11028832 Issued in FL

Practice address

777 E 25TH St Ste 101
Hialeah, FL 33013-3804

Phone

(786) 953-5695

NPI assigned

Sep 27, 2023

Sex

Male

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.

• Familiar Medical Center LLC

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1902458979
  NPD

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1770362857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17240 NW 73RD PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330157106",
            "telephone_number": "786-371-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST STE 101",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133804",
            "telephone_number": "786-953-5695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17240 NW 73rd Pl",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330157106",
            "country_code": "US",
            "telephone_number": "786-371-1761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ CASTRO",
        "first_name": "CARLOS",
        "middle_name": "DEYBER",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-27",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11028832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Nelson Gonzalez Calzada
• Yadilux Gonzalez Cancio
• Vivian Gonzalez Carmenate
• Shessy Gonzalez Castanet
• Noraly Gonzalez Castillo
• Evelyn Gonzalez Castro
• Damarys Gonzalez Ceballo
• Jesus Daniel Gonzalez Chamizo
• Lorely Gonzalez Chavez, SLPA
• Allyson Gonzalez Collado

• Family Nurse Practitioner in Hialeah, FL
• Providers in Hialeah, 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 Jul 16, 2024; 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.