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MRS. MYRIAM VIVIANA PERDOMO GONZALEZ APRN, FNP-BC
NPI 1366223695
Nurse Practitioner - Family in Davie, FL

Active since October 12, 2023PECOS Enrolled
1970 S UNIVERSITY DR STE 24, DAVIE, FL 33324(954) 800-5686(954) 838-5414 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 28, 2025, Apr 10, 2025, Nov 14, 2024 and 2 more (5 updates tracked since 2023).

About Mrs. Myriam Viviana Perdomo Gonzalez Aprn, Fnp-bc NPPES

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

MRS. MYRIAM VIVIANA PERDOMO GONZALEZ APRN, FNP-BC (NPI 1366223695) is an individual family provider in Davie, Florida, licensed in Florida (APRN11029159) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366223695
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MYRIAM VIVIANA PERDOMO GONZALEZCredential: APRN, FNP-BC
Location Address1970 S UNIVERSITY DR STE 24Davie, FL 33324-5846
Mailing Address5102 Nw 122nd AveCoral Springs, FL 33076-3504 · Fax (954) 838-5414
Phone(954) 800-5686
Fax(954) 838-5414
Sole ProprietorNo
Enumeration DateOctober 12, 2023
Last NPPES UpdateMay 28, 20255 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1366223695 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 · APRN11029159
1970 S UNIVERSITY DR STE 24, Davie, FL 33324
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Myriam Viviana Perdomo Gonzalez Aprn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 33324 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 Myriam Perdomo Gonzalez's NPI number?

The NPI number for Myriam Perdomo Gonzalez is 1366223695. It was assigned to this individual provider in the NPPES registry on October 12, 2023.

Where is Myriam Perdomo Gonzalez located?

Myriam Perdomo Gonzalez practices at 1970 S University Dr Ste 24, Davie, FL 33324. The listed phone number is (954) 800-5686.

What is Myriam Perdomo Gonzalez's specialty?

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

Is Myriam Perdomo Gonzalez enrolled in Medicare?

Yes. Myriam Perdomo Gonzalez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Myriam Perdomo Gonzalez was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.