Lidislay Gonzalez Fuentes, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11030508 Issued in FL

Practice address

1030 W 47TH St
Hialeah, FL 33012-3317

Phone

(786) 531-8250

NPI assigned

Sep 21, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nuview Telehealth LLCGroup PAC ID 8022166974, 97 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lidislay.gonzalez.p1@direct.caremax.nextgenshare.com

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.

• Nuview Telehealth, LLC

  • Specialist
  • Boca Raton, FL
  • NPI 1538300181
  Medicare reassignment Care Compare group NPD
• Advanced Gastroenterology of South Florida, P.a.

  • Gastroenterology Physician
  • Hialeah, FL
  • NPI 1063845113
  Medicare reassignment

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1801675673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 W 47TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123317",
            "telephone_number": "786-531-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 W 47TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123317",
            "telephone_number": "786-531-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ FUENTES",
        "first_name": "LIDISLAY",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F09230547",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11030508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga L Gonzalez Espino, RBT
• Yudith Gonzalez Estopinan
• Daniuska Gonzalez Fals
• Juan Antonio Gonzalez Fernandez, PHARMD
• Yanelys Gonzalez Fernandez
• Lina Caridad Gonzalez Garces
• Elizabeth Y Gonzalez Garcia
• Henry Gonzalez Garcia
• Jessica de la Caridad Gonzalez Garcia
• Lissette Gonzalez Garcia

• 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 Oct 11, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.