Kety Garcia Gonzalez, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F022200360 Issued in FL

Practice address

13327 SW 61St Ter
Miami, FL 33183

Phone

(786) 520-9174

NPI assigned

Feb 18, 2020

Last updated

Feb 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Davie, FL
  • NPI 1942812763
  Medicare reassignment NPD
• HCDS Business Group LLC

  dba Sanavital Medical Center

  • Primary Care Clinic/Center
  • Doral, FL
  • NPI 1043028954
  Medicare reassignment
• Ritecare Medical Center LLC

  • Clinic/Center
  • Hialeah, FL
  • NPI 1164407763
  Medicare reassignment
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Oro Valley, AZ
  • NPI 1396317079
  NPD

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1922631969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13327 SW 61ST TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331835130",
            "telephone_number": "786-520-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13327 SW 61ST TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33183",
            "telephone_number": "786-520-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA GONZALEZ",
        "first_name": "KETY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F022200360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adlin Garcia Gomez
• Alfredo Garcia Gonzalez
• Aliel Garcia Gonzalez, APRN
• Amanda Beatriz Garcia Gonzalez
• Dana Garcia Gonzalez, ARNP
• Lisandra Garcia Gonzalez
• Maylin Garcia Gonzalez
• Rosaly Garcia Gonzalez
• Yamileydi Garcia Gonzalez, APRN
• Zikiu Garcia Gonzalez

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.