Individual provider Active NPI

Guido Gonzalez

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1922578392
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11000314 Issued in FL
Practice address
1435 W 49TH PL Ste 201
Hialeah, FL 33012-3147
Phone
(305) 828-4155
Fax
(305) 828-9339
NPI assigned
Nov 28, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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 11000314 FL Primary

Addresses

Primary practice location

1435 W 49TH PL Ste 201
Hialeah, FL 33012-3147

Mailing address

16881 SW 146TH CT
Miami, FL 33177-2039
Phone (786) 344-3145

Other practice location 1

16881 SW 146th Ct
Miami, FL 33177-2039
Phone (786) 344-3145

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
I20190307001910 FL Practitioner - Nurse Practitioner 0547509630 Reassigns benefits to 1 organization
Practice locations: Hialeah, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1435 W 49 PL
Suite 201
Hialeah, FL 33012-3147
Phone (786) 344-3145

Hospital & facility affiliations

  • Viveiro Homehealth Agency Inc Home health agency, Miami, FL, CCN 687321
  • Palace Home Health Care Corp Home health agency, Miami, FL, CCN 687293
  • Home Life, LLC Home health agency, Miami, FL, CCN 109363
  • Improving Home Health Agency Corp Home health agency, Doral, FL, CCN 687250
  • Ace Home Health Services Corp Home health agency, Sweetwater, FL, CCN 108250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11000314FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guido Gonzalez NP LLC CurrentSince Apr 28, 2019 Accepting new patients
Medical Equipment Resolve Inc CurrentSince Aug 2, 2020 Accepting new patients

Locations

1435 W 49th Pl
Ste 201
Hialeah, FL 33012
Phone (305) 823-2710

5979 NW 151st St
Ste 110
Miami Lakes, FL 33014
Phone (786) 762-2973

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1922578392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16881 SW 146TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772039",
            "telephone_number": "786-344-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 W 49TH PL STE 201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123147",
            "telephone_number": "305-828-4155",
            "fax_number": "305-828-9339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16881 SW 146th Ct",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331772039",
            "country_code": "US",
            "telephone_number": "786-344-3145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "GUIDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-28",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11000314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.