MR. HECTOR F GORDILLO (NPI# 1144611716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144611716 |
| Entity Type | Individual |
| Full Name | MR. HECTOR F GORDILLO |
| Credential | APRN |
| Practice Address |
1611 Nw 12th Ave Ste C402 Miami FL 33136-1005 |
| Mailing Address |
11337 Sw 112th Circle Ln N Miami FL 33176-8433 |
| Practice Telephone | 3055851111 |
| Mailing Telephone | 7868772410 |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2020-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
ARNP9194190 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1611 NW 12TH AVE STE C402 |
| City | MIAMI |
| State | FL |
| Zip Code | 33136-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174098404 | Kristina Ashley Gass | Nurse Practitioner | 11845 Sw 100th St, Miami, FL 33186-2742 | 2018-10-13 |
| 1639651615 | Stormy Gale Mcbride | Nurse Practitioner | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2018-09-05 |
| 1306396536 | Kirsten Luft | Nurse Practitioner | 1611 Nw 12th Ave, Institute Bldg. 5th Floor, Room 515a, Miami, FL 33136-1005 | 2016-10-12 |
| 1003363417 | Elsa Qayum | Nurse Practitioner | 8900 North Kendall Drive, Icu Unit, Miami, FL 33176 | 2016-09-01 |
| 1952767220 | Maritza Scarlet Baez | Nurse Practitioner | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2016-01-02 |
| 1568732014 | Jingle Cabansay | Nurse Practitioner | 3663 S Miami Ave, Miami, FL 33133-4253 | 2011-12-30 |
| 1952511495 | Armando Cabrera | Nurse Practitioner | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2007-05-23 |
| 1255344784 | Valerie Wells | Nurse Practitioner | 1611 Nw 12th Ave, Jackson Memorial Hospital - Dtc 316 E, Miami, FL 33136-1005 | 2006-08-14 |
| 1114993755 | Douglas Eugene Houghton Jr. | Nurse Practitioner | 1611 Nw 12th Ave, Jackson Health System, Miami, FL 33136-1005 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342657 | Fritz Gerald Luma | Nurse Practitioner | 121 Nw 2nd Ave Unit 2, Hallandale Beach, FL 33009-4132 | 2020-09-29 |
| 1124645817 | Ashley Danielle Porcaro | Nurse Practitioner | 6133 Branchwood Dr, Lake Worth, FL 33467-7390 | 2020-06-29 |
| 1891324257 | Sara Quijano | Nurse Practitioner | 703 Willow Branch Ct, Lutz, FL 33549-5630 | 2020-04-07 |
| 1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
| 1235676909 | Jennifer Price | Nurse Practitioner | 4853 Saratoga Pl, Land O Lakes, FL 34639-6158 | 2017-01-19 |
| 1598139859 | Kyle Adam Payne | Nurse Practitioner | 6769 Hampshire Blvd, Lakeland, FL 33813-4429 | 2015-11-23 |
| 1245518976 | Corrado LLC | Nurse Practitioner | 1698 B West Hibiscus Blvd, Suite B, Melbourne, FL 32901-2639 | 2011-07-29 |
| 1992092464 | Maria E Castro | Nurse Practitioner | 2905 Carolina Ave, Lakeland, FL 33803-4001 | 2011-07-06 |
| 1154499507 | Julie Ann Dodarell | Nurse Practitioner | 5595 Ponce De Leon Blvd, Coral Gables, FL 33146 | 2006-12-02 |
| 1619056512 | Diane M Mcnerney | Nurse Practitioner | 3231 Mcmullen-booth Road, Safety Harbor, FL 34695 | 2006-11-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.