Individual provider Active NPI

Gonzalo Flavio Yanez, M.D.

  • Specialist
  • Miami, FL
National Provider Identifier
1922049873
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0030470 Issued in FL
Practice address
7765 SW 87TH Ave
Suite #120
Miami, FL 33173-2596
Phone
(305) 279-7001
Fax
(305) 279-7067
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0030470 FL Primary

Addresses

Primary practice location

7765 SW 87TH Ave
Suite #120
Miami, FL 33173-2596

Mailing address

7765 SW 87TH Ave
Suite #120
Miami, FL 33173-2596
Phone (305) 279-7001

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0030470FLMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922049873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7765 SW 87TH AVE",
            "address_2": "SUITE #120",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732596",
            "telephone_number": "305-279-7001",
            "fax_number": "305-279-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7765 SW 87TH AVE",
            "address_2": "SUITE #120",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732596",
            "telephone_number": "305-279-7001",
            "fax_number": "305-279-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANEZ",
        "first_name": "GONZALO",
        "middle_name": "FLAVIO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0030470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.