Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Harold Selan Gonzalez

Individual provider Acute Care Nurse Practitioner · NPI 1770170532

Harold Selan Gonzalez is a Nurse Practitioner in Miami, Florida. Qualified in 2020, 6 years ago. Practices with Public Health Trust of Miami Dade County Florida, a 468-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1611 NW 12th Ave
Miami, FL 33136-1096
Phone: (305) 585-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 11010420 (FL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 11010420 (FL)

Record details

NPI number1770170532
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 28, 2020
Last updated in NPPESMarch 11, 2021
Certification dateMarch 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Public Health Trust Of Miami Dade County Florida — 468 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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