Mrs Myriam Viviana Perdomo Gonzalez, APRN, FNP-BC in Davie, FL

Mrs Myriam Viviana Perdomo Gonzalez, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Davie, Florida. Her current practice location is 1970 S University Dr Ste 24, Davie, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 800-5686.

Mrs Myriam Viviana Perdomo Gonzalez is licensed to practice in Florida (license number APRN11029159) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366223695.

Contact Information

	Mrs Myriam Viviana Perdomo Gonzalez, APRN, FNP-BC
	1970 S University Dr Ste 24, Davie, FL 33324-5846
	(954) 800-5686
	(954) 838-5414

Map and Direction

Provider's Profile

Full Name	Mrs Myriam Viviana Perdomo Gonzalez
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1970 S University Dr Ste 24, Davie, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366223695
Provider Enumeration Date: 10/12/2023
Last Update Date: 05/28/2025

Medicare PECOS Information:

PECOS PAC ID: 9133641814
Enrollment ID: I20250322000096

Medical Identifiers

Medical identifiers for Mrs Myriam Viviana Perdomo Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366223695	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11029159 (Florida)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Myriam Viviana Perdomo Gonzalez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Myriam Viviana Perdomo Gonzalez, APRN, FNP-BC 5102 Nw 122nd Ave, Coral Springs, FL 33076-3504 Ph: () -	Mrs Myriam Viviana Perdomo Gonzalez, APRN, FNP-BC 1970 S University Dr Ste 24, Davie, FL 33324-5846 Ph: (954) 800-5686

Reviews and Comments

Nurse Practitioner Nurses in Davie, FL

Alexa Bock, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6400 Olde Moat Way, Davie, FL 33331 Phone: 954-328-0736
Shashtika Ghimire Guragain, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5595 S University Dr, Davie, FL 33328 Phone: 954-276-3400 Fax: 954-276-0644
Carmen Andreea Hoisan, APRN, FNP-BC, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5561 Sw 82nd Ave, Davie, FL 33328 Phone: 773-230-4409 Fax: 773-230-4409
Meisha Escoffery, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13380 Sw 29th Ct, Davie, FL 33330 Phone: 954-614-7611
Amber Rico, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10400 Griffin Rd Ste 201, Davie, FL 33328 Phone: 808-281-0042
Mrs. Martine Phillips, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2750 N. University Dr., Davie, FL 33024 Phone: 954-804-6607
Ms. Tiffany Marie Hill, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4610 S University Dr, Davie, FL 33328 Phone: 954-434-2002

Mrs Myriam Viviana Perdomo Gonzalez, APRN, FNP-BC - Medicare Nurse Practitioner in Davie, FL