Healthcare Provider Details

I. General information

NPI: 1457255945
Provider Name (Legal Business Name): KRYGO NP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5793 NW 151ST ST STE 5793B
MIAMI LAKES FL
33014-2479
US

IV. Provider business mailing address

5793 NW 151ST ST STE 5793B
MIAMI LAKES FL
33014-2479
US

V. Phone/Fax

Practice location:
  • Phone: 754-223-9292
  • Fax: 941-491-7026
Mailing address:
  • Phone: 754-223-9292
  • Fax: 941-491-7026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: YANISLEIDI GONZALEZ GONZALEZ
Title or Position: OWNER
Credential: APRN
Phone: 754-223-9292