Individual provider Active NPI

Daisy Gonzalez Rodriguez

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1992414270
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9492008 Issued in FL
Practice address
2915 NW 64TH St
Miami, FL 33147-7618
Phone
(786) 603-2040
NPI assigned
Nov 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 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 9492008 FL Primary

Addresses

Primary practice location

2915 NW 64TH St
Miami, FL 33147-7618

Mailing address

2915 NW 64TH St
Miami, FL 33147-7618
Phone (786) 603-2040

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
I20260228000910 FL Practitioner - Nurse Practitioner 8022590942

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3659 S Miami Ave
Suite 5002
Miami, FL 33133-4221

3659 S Miami Ave
Suite 5002
Miami, FL 33133-4231

6981 SW 80TH St
Miami, FL 33143-4330

9540 SW 162 Path
Miami, FL 33196-4940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9492008FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lissette D Cortazar Mdpa CurrentSince Dec 23, 2025 Accepting new patients

Locations

3659 S Miami Ave
Ste 5002
Miami, FL 33133
Phone (305) 815-0055

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": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1992414270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 NW 64TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331477618",
            "telephone_number": "786-603-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 NW 64TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331477618",
            "telephone_number": "786-603-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ RODRIGUEZ",
        "first_name": "DAISY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9492008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.