Individual provider Active NPI

Jose Carlos Gonzalez Hernandez, FNP

  • Family Nurse Practitioner
  • Lauderhill, FL
National Provider Identifier
1831025238
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11048601 Issued in FL
Practice address
5717 NW 16TH St
Lauderhill, FL 33313-5449
Phone
(645) 200-8897
NPI assigned
Jun 23, 2026
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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 11048601 FL Primary

Addresses

Primary practice location

5717 NW 16TH St
Lauderhill, FL 33313-5449

Mailing address

5717 NW 16TH St
Lauderhill, FL 33313-5449
Phone (645) 200-8897

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

NPI Registry JSON

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1831025238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 NW 16TH ST",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333135449",
            "telephone_number": "645-200-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 NW 16TH ST",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333135449",
            "telephone_number": "645-200-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ HERNANDEZ",
        "first_name": "JOSE",
        "middle_name": "CARLOS",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11048601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.