Active NPI
Marielys Gonzalez Hernandez
- Case Manager/Care Coordinator
- Miami, FL
National Provider Identifier
1821899527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- CBHCM.0104168
- Practice address
- 1461 SW 124TH CT Apt C
Miami, FL 33184-2359 - Phone
- (786) 792-7936
- NPI assigned
- Mar 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CBHCM.0104168 | FL | Primary |
Addresses
Primary practice location
1461 SW 124TH CT Apt C
Miami, FL 33184-2359
Mailing address
1461 SW 124TH CT Apt C
Miami, FL 33184-2359
Phone (786) 792-7936
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CBHCM.0104168 | FL | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1821899527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1461 SW 124TH CT APT C",
"city": "MIAMI",
"state": "FL",
"postal_code": "331842359",
"telephone_number": "786-792-7936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1461 SW 124TH CT APT C",
"city": "MIAMI",
"state": "FL",
"postal_code": "331842359",
"telephone_number": "786-792-7936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ HERNANDEZ",
"first_name": "MARIELYS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-20",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": "CBHCM.0104168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.