ADRIAN PEREZ GONZALEZ (APRN) – Family Nurse Practitioner, NPI 1609634120

ADRIAN PEREZ GONZALEZ (APRN) is a healthcare provider. based in Pembroke pines, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11031732 (FL). The NPI Number for ADRIAN PEREZ GONZALEZ (APRN) is 1609634120

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
ADRIAN PEREZ GONZALEZ (APRN)
NPI
1609634120
Phone
(786) 792-7067
Address
350 SW 67TH AVE
Enumeration Date
11 March 2024
Last Update Date
11 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3059735582
Graduation Year
2023 (3 years ago)
PAC ID
7113347840
Group Practice PAC ID
3375913833
Professional Enrollment ID
I20251229002745
Address ID
FL330403951KE2506XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for ADRIAN PEREZ GONZALEZ (APRN)

  • 350 SW 67TH AVE

    PEMBROKE PINES, FL 330231267

    Phone: (786) 792-7067

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251229002745INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33023)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375913833View full group profile
NameSpecialtyState
Emergency MedicineFL
Internal Medicine, Emergency MedicineFL
Family PracticeFL
Emergency Medicine, Family PracticeNC
Nurse PractitionerFL
Emergency MedicineFL
Nurse PractitionerFL
Internal MedicineFL
Emergency MedicineFL

Reviews

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Frequently asked questions

How do I look up ADRIAN PEREZ GONZALEZ (APRN) by NPI?
Use NPI 1609634120 when you need to reference ADRIAN PEREZ GONZALEZ (APRN) in forms, claims, or directories.
Is ADRIAN PEREZ GONZALEZ (APRN) currently active in the NPI registry?
CMS-published data lists ADRIAN PEREZ GONZALEZ (APRN) as an active registrant.
What field does ADRIAN PEREZ GONZALEZ (APRN) work in?
You can think of ADRIAN PEREZ GONZALEZ (APRN) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for ADRIAN PEREZ GONZALEZ (APRN)?
We surface Pembroke Pines, Florida for ADRIAN PEREZ GONZALEZ (APRN) based on available NPPES addresses.
What if Pembroke Pines, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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