Individual provider Active NPI

Greeyten Teresa Marrero Gonzalez

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1780157768
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11000077 Issued in FL
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

Updated by the provider on Feb 13, 2023

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 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

IdentifierTypeStateIssuer
11000077OtherFLFAMILY 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
11000077FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Med Group, Inc CurrentSince Mar 4, 2021 Accepting new patients
Domus Care Solutions CurrentSince Jul 1, 2021 Accepting new patients
Jesus Montesano MD Medical Center CurrentSince Jan 12, 2025 Accepting new patients
Jesus Montesano MD LLC PastSince Feb 19, 2023 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.