Individual provider Active NPI

Alfredo Gonzalez de Chavez

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1780139261
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9344949 Issued in FL
Practice address
14440 SW 92ND Ter
Miami, FL 33186-1060
Phone
(786) 280-1613
NPI assigned
Aug 24, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 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 ARNP9344949 FL Primary

Addresses

Primary practice location

14440 SW 92ND Ter
Miami, FL 33186-1060

Mailing address

14440 SW 92ND Ter
Miami, FL 33186-1060
Phone (786) 280-1613

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
I20170407001677 FL Practitioner - Nurse Practitioner 0941586887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Pain Treatment Center IncGroup PAC ID 0042288557, 2 clinicians

Practice addresses (Care Compare)

11780 SW 89TH St
FL 3
Miami, FL 33186-2101
Phone (305) 260-9803

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9344949FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pain Treatment Center Inc CurrentSince Dec 5, 2016 Accepting new patients

Locations

11780 SW 89th St
Ste 300
Miami, FL 33186

11780 SW 89th St
Fl 3
Miami, FL 33186
Phone (305) 260-9803

6175 NW 153rd St
Ste 312
Miami Lakes, FL 33014
Phone (786) 762-2364

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": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1780139261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14440 SW 92ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861060",
            "telephone_number": "786-280-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14440 SW 92ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861060",
            "telephone_number": "786-280-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ DE CHAVEZ",
        "first_name": "ALFREDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9344949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.