Individual provider Active NPI

Cesar Alejandro Galano Gonzalez, FNP

  • Family Nurse Practitioner
  • Estero, FL
National Provider Identifier
1982313797
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11023117 Issued in FL
Practice address
8088 Lords Way St
Estero, FL 33928-3159
Phone
(305) 721-6177
NPI assigned
Nov 21, 2022
Last updated
Nov 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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 11023117 FL Primary

Addresses

Primary practice location

8088 Lords Way St
Estero, FL 33928-3159

Mailing address

8088 Lords Way St
Estero, FL 33928-3159
Phone (305) 721-6177

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
I20230628001183 FL Practitioner - Nurse Practitioner 0446618102 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11023117FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Korunda Medical, LLC CurrentSince Mar 24, 2023 Accepting new patients
Korunda Medical, LLC Current Accepting new patients

Locations

4513 Executive Dr
Ste 101
Naples, FL 34119
Phone (239) 594-7563

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, 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": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1982313797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8088 LORDS WAY ST",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339283159",
            "telephone_number": "305-721-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8088 LORDS WAY ST",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339283159",
            "telephone_number": "305-721-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALANO GONZALEZ",
        "first_name": "CESAR",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11023117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

Verify at the official NPI Registry.