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RAQUEL JUSTINIANO GONZALES (LM)LICENSED MIDWIFE
NPI 1649041740
Midwife in Titusville, FL

Active since January 09, 2024PECOS Enrolled
951 N WASHINGTON AVE BLDG 4, TITUSVILLE, FL 32796(321) 268-6111(321) 268-6364 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Raquel Justiniano Gonzales (lm)licensed Midwife NPPES

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

RAQUEL JUSTINIANO GONZALES (LM)LICENSED MIDWIFE (NPI 1649041740) is an individual midwife in Titusville, Florida, licensed in Florida (TMW20) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649041740
Entity TypeIndividualFemale
Primary Taxonomy176B00000X
Provider Legal NameRAQUEL JUSTINIANO GONZALESCredential: (LM)LICENSED MIDWIFE
Location Address951 N WASHINGTON AVE BLDG 4Titusville, FL 32796-2194
Mailing Address1440 Smoke Hill DrHoschton, GA 30548-1752 · (423) 661-9226
Phone(321) 268-6111
Fax(321) 268-6364
Sole ProprietorYes
Enumeration DateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
✔ NPI 1649041740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
License✔ Licensed in FL · TMW20
Definition
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
951 N WASHINGTON AVE BLDG 4, Titusville, FL 32796
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raquel Justiniano Gonzales (lm)licensed Midwife 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Raquel Justiniano Gonzales reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Space Coast Health Centers Inc
0.1 mi
Federally Qualified Health Center (FQHC)
951 N WASHINGTON AVE STE 100
Titusville, FL 32796
  • Reassigned Medicare billing, Florida enrollment
  • 15 clinicians in this Medicare group
NPI 1144819319 (386) 852-9565
North Brevard Medical Support, Inc
3.4 mi
Multi-Specialty
250 HARRISON ST
Titusville, FL 32780
  • Reassigned Medicare billing, Florida enrollment
  • 184 clinicians in this Medicare group
NPI 1609834886 (321) 268-6868

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LARA DONDERO PTA
Physical Therapy Assistant
951 N WASHINGTON AVE BLDG 4
TITUSVILLE, FL 32796
Brevard County (321) 684-0187
MRS. SHARON ELAINE LUCAS MS CCC-SLP
Speech-Language Pathologist
951 N WASHINGTON AVE BLDG 4
TITUSVILLE, FL 32796
Brevard County (321) 268-6111
NOELLE SUNDRENE ADDERTON
Speech-Language Pathologist
951 N WASHINGTON AVE BLDG 4
TITUSVILLE, FL 32796
Brevard County (321) 268-6111
WILLIAM CAREY PARKER APRN
Nurse Practitioner (Acute Care)
951 N WASHINGTON AVE BLDG 4
TITUSVILLE, FL 32796
Brevard County (321) 268-6111
AIMEE JYNETTE VANCE PA-C
Physician Assistant
951 N WASHINGTON AVE BLDG 4
TITUSVILLE, FL 32796
Brevard County (321) 268-6111
DR. TYLER J TANTILLO DO
Orthopaedic Surgery
951 N WASHINGTON AVE BLDG 4
TITUSVILLE, FL 32796
Brevard County (321) 268-6111
DR. RAHUL BABUBHAI CHAUDHARI MD
Internal Medicine (Gastroenterology)
951 N WASHINGTON AVE BLDG 4
TITUSVILLE, FL 32796
Brevard County (321) 268-6111
MRS. STACIE ELLEN HAMMOND
Physical Therapy Assistant
951 N WASHINGTON AVE BLDG 4
TITUSVILLE, FL 32796
Brevard County (321) 268-6111

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 Raquel Justiniano Gonzales's NPI number?

The NPI number for Raquel Justiniano Gonzales is 1649041740. It was assigned to this individual provider in the NPPES registry on January 9, 2024.

Where is Raquel Justiniano Gonzales located?

Raquel Justiniano Gonzales practices at 951 N Washington Ave Bldg 4, Titusville, FL 32796. The listed phone number is (321) 268-6111.

What is Raquel Justiniano Gonzales's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

Is Raquel Justiniano Gonzales enrolled in Medicare?

Yes. Raquel Justiniano Gonzales is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Raquel Justiniano Gonzales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raquel Justiniano Gonzales reassigns Medicare benefits to 2 organizations: Space Coast Health Centers Inc (Titusville, FL) and North Brevard Medical Support, Inc (Titusville, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raquel Justiniano Gonzales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Raquel Justiniano Gonzales was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.