DELIA T GONGORA NPI 1790185353

NPI Information

NPI: 1790185353
Provider Name: DELIA T GONGORA
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: RUBEN J AYALA MD PA

PECOS Registration: Yes

Address:
14283 SW 42ND ST
MIAMI, FL
ZIP 33175
Phone: (305) 226-1001
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Delia T Gongora is a family nurse practitioner in Miami, FL with 10 years of experience. Delia T Gongora NPI is 1790185353. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14283 SW 42ND ST
MIAMI, FL
ZIP 33175-408
Phone: (305) 226-1001

The NPI 1790185353 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/1/2014 and was last updated on 4/9/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	S00894589	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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