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MANUEL VALLADARES GONZALEZ APRN
NPI 1164803078
Nurse Practitioner - Family in Miami Lakes, FL

Active since June 16, 2015PECOS EnrolledAccepts Medicare Assignment
15700 NW 67TH AVE STE 102, MIAMI LAKES, FL 33014(786) 434-5987(786) 434-5988 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 24, 2025, May 29, 2025, May 22, 2025 (3 updates tracked since 2025).

About Manuel Valladares Gonzalez Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANUEL VALLADARES GONZALEZ APRN (NPI 1164803078) is an individual family provider in Miami Lakes, Florida, licensed in Florida (APRN11039712) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1164803078
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMANUEL VALLADARES GONZALEZCredential: APRN
Location Address15700 NW 67TH AVE STE 102Miami Lakes, FL 33014-2112
Mailing AddressPo Box 4189Deerfield Beach, FL 33442-4189 · (954) 363-9582
Phone(786) 434-5987
Fax(786) 434-5988
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 16, 2015
Last NPPES UpdateJune 24, 20253 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1164803078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11039712
15700 NW 67TH AVE STE 102, Miami Lakes, FL 33014
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Other Identifiers 1

Medicaid127290200FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Manuel Valladares Gonzalez Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991216434
PECOS Enrollment IDI20250612003266
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33014 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manuel Valladares Gonzalez's NPI number?

The NPI number for Manuel Valladares Gonzalez is 1164803078. It was assigned to this individual provider in the NPPES registry on June 16, 2015.

Where is Manuel Valladares Gonzalez located?

Manuel Valladares Gonzalez practices at 15700 NW 67th Ave Ste 102, Miami Lakes, FL 33014. The listed phone number is (786) 434-5987.

What is Manuel Valladares Gonzalez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Manuel Valladares Gonzalez enrolled in Medicare?

Yes. Manuel Valladares Gonzalez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Manuel Valladares Gonzalez was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.