Individual provider Active NPI

Ramon A Gonzalez, ARNP

  • Nurse Practitioner
  • Miami Lakes, FL
National Provider Identifier
1902415326
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11006949 Issued in FL
Practice address
8057 NW 155TH St
Miami Lakes, FL 33016-5874
Phone
(305) 698-2200
Fax
(305) 698-2243
NPI assigned
Jul 31, 2020
Last updated
Jul 31, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11006949 FL Primary

Addresses

Primary practice location

8057 NW 155TH St
Miami Lakes, FL 33016-5874

Mailing address

3550 SW 94 Avenue
Miami, FL 33165
Phone (786) 602-2777

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
I20210106000115 FL Practitioner - Nurse Practitioner 0042471641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Nephrology Group LLCGroup PAC ID 8527569029, 5 clinicians

Practice addresses (Care Compare)

8260 W Flager St
Miami, FL 33144-2069
Phone (786) 715-9183

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11006949FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Nephrology Group LLC CurrentSince Aug 26, 2025 Accepting new patients

Locations

11420 N Kendall Dr
Ste 207
Miami, FL 33176
Phone (786) 715-9183

8260 W Flagler St
Ste 1A
West Miami, FL 33144
Phone (305) 220-4425

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": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1902415326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 SW 94 AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33165",
            "telephone_number": "786-602-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8057 NW 155TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165874",
            "telephone_number": "305-698-2200",
            "fax_number": "305-698-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "RAMON",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11006949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.