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NPI Code Detail

MEDICARE: NIMARIS NIEBLA GONZALEZ ARNP-BC

MEDICARE:   NIMARIS  NIEBLA GONZALEZ  ARNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN11044414FL

General Provider Information

NPI Number : 1821931866
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIMARIS NIEBLA GONZALEZ ARNP-BC
Provider Business Mailing Address
First Line : 9250 SW 12TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33174-3108
Country : US
Telephone Number : 407-779-1969
Fax Number :
Provider Business Practice Location Address
First Line : 836 PONCE DE LEON BLVD STE 200
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-3068
Country : US
Telephone Number : 305-432-9321
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ NIMARIS NIEBLA GONZALEZ ARNP-BC” Practice Location

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