Individual provider Active NPI

Juan Manuel Gonzalez, ARNP

  • Acute Care Nurse Practitioner
  • South Miami, FL
National Provider Identifier
1821418377
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
ARNP9248124 Issued in FL
Practice address
6200 SW 73Rd St
South Miami, FL 33143-4679
Phone
(786) 662-4000
NPI assigned
Apr 23, 2014
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9248124 FL
Acute Care Nurse Practitioner 363LA2100X ARNP9248124 FL Primary

Addresses

Primary practice location

6200 SW 73Rd St
South Miami, FL 33143-4679

Mailing address

6200 SW 73Rd St
South Miami, FL 33143-4679
Phone (786) 662-4000

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
I20141209001251 FL Practitioner - Nurse Practitioner 0648592360 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Criticare Clinics IncGroup PAC ID 7517966534, 104 clinicians
Sheridan Emergency Physician Services of South Dade, IncGroup PAC ID 6305849449, 41 clinicians

Practice addresses (Care Compare)

10 Giralda Ave
Coral Gables, FL 33134-5303
Phone (786) 467-5000

1240 S Dixie Hwy
Coral Gables, FL 33146-2902
Phone (786) 467-5080

14701 NW 77TH Ave
Miami Lakes, FL 33014-2500
Phone (786) 662-0700

2660 Brickell Ave
Miami, FL 33129-2800
Phone (786) 467-5320

4741 S University Dr
Davie, FL 33328-3819
Phone (954) 837-1050

6264 W Sample Rd
Suite 100
Coral Springs, FL 33067-3273
Phone (954) 837-1020

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (954) 939-5000

Merit-based Incentive Payment System (MIPS)

Final score
99.45 of 100Reported as group
Quality
81.9
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Miami Criticare Inc. Nurse Practitioner CurrentSince Oct 1, 2014 Accepting new patients
Sheridan Emergency Physician Services of South Dade Inc Nurse Practitioner CurrentSince Nov 1, 2020 Accepting new patients
Criticare Clinics Inc CurrentSince Aug 1, 2021 Accepting new patients

Locations

4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000

14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1821418377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SW 73RD ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434679",
            "telephone_number": "786-662-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SW 73RD ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434679",
            "telephone_number": "786-662-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JUAN",
        "middle_name": "MANUEL",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9248124",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP9248124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.