Individual provider Active NPI

Diana Marie Gonzalez Perez, ARNP

  • Family Nurse Practitioner
  • Miami Beach, FL
National Provider Identifier
1992041818
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9293022 Issued in FL
Practice address
4300 Alton Rd
Wien Center
Miami Beach, FL 33140-2948
Phone
(305) 674-2121
NPI assigned
Dec 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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 9293022 FL Primary

Addresses

Primary practice location

4300 Alton Rd
Wien Center
Miami Beach, FL 33140-2948

Mailing address

13842 SW 155TH CT
Miami, FL 33196-6050
Phone (786) 223-3130

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
I20130805000898 FL Practitioner - Nurse Practitioner 9537301429 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9293022FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Practices of MSMC, LLC CurrentSince May 27, 2013 Accepting new patients

Locations

4302 Alton Rd
Ste 300
Miami Beach, FL 33140
Phone (305) 672-9989

4306 Alton Rd
Ofc 2ND
Miami Beach, FL 33140

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/

Organizations & group practices 1

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": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1992041818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13842 SW 155TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331966050",
            "telephone_number": "786-223-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "address_2": "WIEN CENTER",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "305-674-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ PEREZ",
        "first_name": "DIANA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9293022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.