Active NPI
Greeyten Teresa Marrero Gonzalez
- Family Nurse Practitioner
- Hialeah, FL
National Provider Identifier
1780157768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11000077
- Practice address
- 664 East 25 St
Suite:101
Hialeah, FL 33013 - Phone
- (305) 835-7625
- Fax
- (305) 835-0550
- NPI assigned
- Jan 2, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11000077 | FL | Primary |
Addresses
Primary practice location
664 East 25 St
Suite:101
Hialeah, FL 33013
Mailing address
3281 SW 145TH Ave
Miami, FL 33175-7473
Phone (786) 260-9663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11000077 | Other | FL | FAMILY NURSE PRACTITIONER |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210308001060 | FL | Practitioner - Nurse Practitioner | 1759797202 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11000077 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Med Group, Inc | Current | Accepting new patients | |
| Domus Care Solutions | Current | Accepting new patients | |
| Jesus Montesano MD Medical Center | Current | Accepting new patients | |
| Jesus Montesano MD LLC | Past | Accepting new patients |
Locations
3990 W Flagler St
Ste 406
Coral Gables, FL 33134
Phone (305) 456-3879
664 E 25th St
Ste 101
Hialeah, FL 33013
Phone (305) 835-7625
2200 N Commerce Pkwy
Ste 200
Weston, FL 33326
Phone (305) 898-9707
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JHGACD
Organizations & group practices 4
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Weston, FL
- NPI 1285264093
-
- Primary Care Clinic/Center
- Hialeah, FL
- NPI 1104636208
-
- Medical Specialty Clinic/Center
- Hialeah, FL
- NPI 1043563513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1780157768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3281 SW 145TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331757473",
"telephone_number": "786-260-9663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "664 EAST 25 ST",
"address_2": "SUITE:101",
"city": "HIALEAH",
"state": "FL",
"postal_code": "33013",
"telephone_number": "305-835-7625",
"fax_number": "305-835-0550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRERO GONZALEZ",
"first_name": "GREEYTEN",
"middle_name": "TERESA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-02",
"last_updated": "2023-02-13",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11000077",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMILY NURSE PRACTITIONER",
"identifier": "11000077",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.