Active NPI
Yashira Marie Gonzalez Rosich
- General Practice Physician
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN1557
- Practice address
- 1307 E Osceola Pkwy
Kissimmee, FL 34744-1605 - Phone
- (844) 665-4827
- Fax
- (855) 852-1974
- NPI assigned
- Feb 8, 2022
- Last updated
- Aug 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ACN1557 | FL | MD | General Practice Physician |
| 23170 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New 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
- 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, 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": "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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.