LIDISLAY GONZALEZ FUENTES ARNP
NPI 1801675673
Nurse Practitioner - Family in Hialeah, FL

Active since September 21, 2023PECOS EnrolledAccepts Medicare Assignment
1030 W 47TH ST, HIALEAH, FL 33012(786) 531-8250 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2024, May 11, 2024 (2 updates tracked since 2024).

About Lidislay Gonzalez Fuentes Arnp NPPES

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

LIDISLAY GONZALEZ FUENTES ARNP (NPI 1801675673) is an individual family provider in Hialeah, Florida, licensed in Florida (APRN11030508) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Broward Health Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1801675673
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLIDISLAY GONZALEZ FUENTESCredential: ARNP
Location Address1030 W 47TH STHialeah, FL 33012-3317
Mailing Address1030 W 47th StHialeah, FL 33012-3317 · (786) 531-8250
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 21, 2023
Last NPPES UpdateOctober 11, 20242 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
NPI 1801675673 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
Licenses Licensed in FL · APRN11030508 Licensed in FL · F09230547
1030 W 47TH ST, Hialeah, FL 33012

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

Lidislay Gonzalez Fuentes Arnp 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 ID2062957624
PECOS Enrollment IDI20240709000332
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Broward Health Medical Center

Acute Care Hospitals · Fort Lauderdale, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100039
Location1600 S Andrews AveFort Lauderdale, FL 33316 · Broward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33012 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.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
1030 W 47TH ST
HIALEAH, FL 33012

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 Lidislay Gonzalez Fuentes's NPI number?

The NPI number for Lidislay Gonzalez Fuentes is 1801675673. It was assigned to this individual provider in the NPPES registry on September 21, 2023.

Where is Lidislay Gonzalez Fuentes located?

Lidislay Gonzalez Fuentes practices at 1030 W 47th St, Hialeah, FL 33012. The listed phone number is (786) 531-8250.

What is Lidislay Gonzalez Fuentes's specialty?

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

Is Lidislay Gonzalez Fuentes enrolled in Medicare?

Yes. Lidislay Gonzalez Fuentes 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.

Is Lidislay Gonzalez Fuentes affiliated with any hospitals?

According to CMS data, Lidislay Gonzalez Fuentes is affiliated with Broward Health Medical Center.

When was this NPI record last updated?

The NPPES record for Lidislay Gonzalez Fuentes was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.