Individual provider Active NPI

Yashira Marie Gonzalez Rosich

  • General Practice Physician
  • Kissimmee, FL
National Provider Identifier
1891449922
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1557 Issued in FL
Practice address
1307 E Osceola Pkwy
Kissimmee, FL 34744-1605
Phone
(844) 665-4827
Fax
(855) 852-1974
NPI assigned
Feb 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23170 PR
General Practice Physician 208D00000X ACN1557 FL Primary

Addresses

Primary practice location

1307 E Osceola Pkwy
Kissimmee, FL 34744-1605

Mailing address

444 Patricia Alford Dr
Haines City, FL 33844-6758
Phone (787) 216-7996

Other practice location 1

70 Calle Santa Cruz
Bayamon, PR 00961-7052
Phone (787) 620-1639

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230919002397 FL Practitioner - General Practice 4486011939

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 W Jefferson St
Louisville, KY 40202-2881

8400 NW 33Rd St
Suite 201
Doral, FL 33122-1937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23170PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guidewell Sanitas I, LLC Current Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

3617 W Hillsborough Ave
Tampa, FL 33614
Phone (813) 675-2020

Interoperability endpoints

  • Direct secure messaging: yashira.gonzalezrosich@wwmp.eclinicaldirectplus.com

Organizations & group practices 1

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": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1891449922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 PATRICIA ALFORD DR",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338446758",
            "telephone_number": "787-216-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 E OSCEOLA PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441605",
            "telephone_number": "844-665-4827",
            "fax_number": "855-852-1974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Calle Santa Cruz",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "009617052",
            "country_code": "US",
            "telephone_number": "787-620-1639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ ROSICH",
        "first_name": "YASHIRA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23170",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.