Individual provider Active NPI

Yusleidy Gonzalez Rodriguez

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1891493532
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11024798 Issued in FL
Practice address
606 W 81St St Apt 120
Hialeah, FL 33014-4151
Phone
(786) 865-5859
NPI assigned
Feb 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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 11024798 FL Primary

Addresses

Primary practice location

606 W 81St St Apt 120
Hialeah, FL 33014-4151

Mailing address

606 W 81St St Apt 120
Hialeah, FL 33014-4151
Phone (786) 865-5859

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
I20230405001212 FL Practitioner - Nurse Practitioner 2769857796 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11024798FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Digestive Medicine PLLC CurrentSince Mar 18, 2024 Accepting new patients
CH Medical Group Corp. CurrentSince Feb 20, 2023 Accepting new patients

Locations

7887 N Kendall Dr
Ste 101
Miami, FL 33156
Phone (305) 273-6266

711 NW 23rd Ave
Ste 301
Miami, FL 33125
Phone (305) 643-4797

Organizations & group practices 2

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": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1891493532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 W 81ST ST APT 120",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144151",
            "telephone_number": "786-865-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W 81ST ST APT 120",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144151",
            "telephone_number": "786-865-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ RODRIGUEZ",
        "first_name": "YUSLEIDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11024798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.