| Yovany Gongora, MSN, APRN, FNP-C | |
|
6405 Nw 36th St Ste 213, Virginia Gardens, FL 33166-6973 | |
| (786) 562-7479 | |
| (305) 564-7610 |
| Full Name | Yovany Gongora |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 6405 Nw 36th St Ste 213, Virginia Gardens, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962140434 | NPI | - | NPPES |
| RBT20123140 | Other | FL | RBT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11019813 (Florida) | Primary |
| 106S00000X | Behavior Technician | RBT-20-123140 (Florida) | Secondary |
| Entity Name | Doctor United Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124581632 PECOS PAC ID: 0547696452 Enrollment ID: O20200212000527 |
| Entity Name | Ygongoranp Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275392805 PECOS PAC ID: 1153761572 Enrollment ID: O20240502002139 |
| Mailing Address | Practice Location Address |
|---|---|
| Yovany Gongora, MSN, APRN, FNP-C 11620 Sw 185th St, Miami, FL 33157-6518 Ph: (786) 660-1844 | Yovany Gongora, MSN, APRN, FNP-C 6405 Nw 36th St Ste 213, Virginia Gardens, FL 33166-6973 Ph: (786) 562-7479 |
Zuraika Moya Tauile, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6551 Nw 38th Ter Apt 3, Virginia Gardens, FL 33166 Phone: 954-665-0217 | |
Blanca Milagros Casanueva, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5901 Nw 40th St, Virginia Gardens, FL 33166 Phone: 305-244-1477 | |
Lineth Fontela-hume, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6004 Nw 38th St, Virginia Gardens, FL 33166 Phone: 786-314-6534 |