Individual provider Active NPI

Isabel De la Noval Gonzalez, ARNP

  • Obstetrics & Gynecology Nurse Practitioner
  • West Miami, FL
National Provider Identifier
1962038380
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
APRN11006538 Issued in FL
Practice address
6355 SW 8TH St Apt 1209
West Miami, FL 33144-4863
Phone
(786) 333-0479
NPI assigned
Mar 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11006538 FL
Obstetrics & Gynecology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LX0001X APRN11006538 FL Primary

Addresses

Primary practice location

6355 SW 8TH St Apt 1209
West Miami, FL 33144-4863

Mailing address

6355 SW 8TH St Apt 1209
West Miami, FL 33144-4863
Phone (786) 333-0479

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
I20220617000159 FL Practitioner - Nurse Practitioner 9234518598 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

Practice addresses (Care Compare)

8370 W Flagler St
Miami, FL 33144-2040
Phone (305) 226-1987

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11006538FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Competent Group Services Inc Multi-Specialty CurrentSince Feb 24, 2022 Accepting new patients
Total Care Medical Centers LLC Multi-Specialty PastSince Jul 15, 2022 Accepting new patients

Locations

8370 W Flagler St
Ste 234
Miami, FL 33144
Phone (305) 226-1987

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": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1962038380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 SW 8TH ST APT 1209",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331444863",
            "telephone_number": "786-333-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 SW 8TH ST APT 1209",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331444863",
            "telephone_number": "786-333-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA NOVAL GONZALEZ",
        "first_name": "ISABEL",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006538",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "APRN11006538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Miami, FL

Sources for this page

Verify at the official NPI Registry.