MRS. TERESA MARIA GONGORA-GARCIA (NPI# 1770805699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770805699 |
| Entity Type | Individual |
| Full Name | MRS. TERESA MARIA GONGORA-GARCIA |
| Credential | ARNP |
| Practice Address |
11760 Bird Rd Ste 741 Miami FL 33175-8104 |
| Mailing Address |
983 Sw 154th Path Miami FL 33194-2788 |
| Practice Telephone | 3052268484 |
| Practice Fax Number | 3052268826 |
| Mailing Telephone | 7865370618 |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
ARNP 9256923 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | IN PROGRESS | 0000000000 | 01 |
| Street Address |
11760 BIRD RD STE 741 |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-8104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885965 | Kevin Bernardo Gonzalez | Behavior Technician | 11895 Sw 37 St, Miami, FL 33175 | 2020-06-11 |
| 1619509106 | Gladysbel Lorenzo | Nurse Practitioner | 11740 Sw 42st, Miami, FL 33175 | 2020-02-12 |
| 1154885200 | Vanessa Arzola Dmd Pa and Associates | Clinic/Center | 13419 Sw 56th Street, Miami, Miami, FL 33175 | 2019-01-23 |
| 1588145932 | Mailen Gonzalez | Nurse Practitioner | 12294 Sw 29 Ter, Miami, FL 33175 | 2018-08-23 |
| 1639655350 | Carolina Marie Trueba | Behavior Technician | 12825 Sw 49th Terr, Miami, FL 33175 | 2018-07-16 |
| 1033611504 | Joan Coro | Behavior Technician | 12905 Sw 42nd St Suite 219, Miami, FL 33175 | 2018-03-01 |
| 1417456864 | Ignacio Alzugaray | Nurse Practitioner | 12317 Sw 20th Ter, Miami, FL 33175 | 2018-02-12 |
| 1215436993 | Desiree Rengifo-glasgow | Nurse Practitioner | 11865 Sw 26th St Ste J2, Miami, FL 33175 | 2018-02-07 |
| 1639678691 | Behavior Professional Consultants Corp. | Community/Behavioral Health | 2460 Sw 137th Ave 242, Miami, FL 33175 | 2018-02-06 |
| 1992204291 | Humberto Lorenzo Paez | Nurse Practitioner | 4205 Sw 136th Place, Miami, FL 33175 | 2018-02-02 |
| Find all providers in zip 33175 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457986317 | Alejandro Oliveros | Clinical Nurse Specialist | 11663 Sw 152nd Pl, Miami, FL 33196-5238 | 2020-03-10 |
| 1174996037 | Karl-henri Cesar | Clinical Nurse Specialist | 1350 Nw 8th Ct Ph 6, Miami, FL 33136-2325 | 2015-11-01 |
| 1821343823 | Maria Alexandra Restrepo | Clinical Nurse Specialist | 8400 Sw 33st, Miami, FL 33122 | 2012-07-17 |
| 1942519079 | Alejandra Collazo | Clinical Nurse Specialist | 680 W Park Dr, Apt 105, Miami, FL 33172-5354 | 2010-10-07 |
| 1174756407 | Javier Elaine Daley | Clinical Nurse Specialist | 15331 Sw 165th St, Miami, FL 33187-1455 | 2009-09-03 |
| 1497973499 | Bertha Palmieri | Clinical Nurse Specialist | 15 Sw 107ave., 15, Miami, FL 33174-3317 | 2007-04-23 |
| 1295189140 | Tite Family Practice and Skin Care Clinic | Clinical Nurse Specialist | 2441 Nw 7 St, Miami, FL 33125 | 2016-04-18 |
| 1073985420 | Ernesto Eduardo Gomez | Clinical Nurse Specialist | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2015-10-26 |
| 1851798953 | My Doctor's Pediatrics | Clinical Nurse Specialist | 9000 Sw 137th Ave Ste 204, Miami, FL 33186-1436 | 2014-12-04 |
| 1679848816 | Alberto Martin Hernandez | Clinical Nurse Specialist | 3510 Biscayne Blvd, Miami, FL 33137-3840 | 2012-03-21 |
| Find all providers in MIAMI | ||||
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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.