Active NPI
Robisley Hernandez Gonzalez, SAC
- Surgical Assistant
- Miami, FL
National Provider Identifier
1780112367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 17-310
- Practice address
- 2535 SW 11TH St
Miami, FL 33135-4809 - Phone
- (786) 262-3072
- NPI assigned
- May 26, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 17-310 | FL | Primary |
Addresses
Primary practice location
2535 SW 11TH St
Miami, FL 33135-4809
Mailing address
2535 SW 11TH St
Miami, FL 33135-4809
Phone (786) 262-3072
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33050166 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17-310 | FL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1780112367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2535 SW 11TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331354809",
"telephone_number": "786-262-3072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2535 SW 11TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331354809",
"telephone_number": "786-262-3072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ GONZALEZ",
"first_name": "ROBISLEY",
"credential": "SAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "FL",
"license": "17-310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33050166",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
- Hector Emilio Hernandez Gonzalez, NP-C
- Irenia Hernandez Gonzalez, RBT
- Janet De la Caridad Hernandez Gonzalez
- Mariam Claudia Hernandez Gonzalez
- Nailey Hernandez Gonzalez
- Roger Hernandez Gonzalez
- Thalia E Hernandez Gonzalez
- Yandilier Hernandez Gonzalez
- Yeranis Hernandez Gonzalez
- Clara S Hernandez Gregori
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.