Individual provider Active NPI

Lilibet Miranda Gonzalez, MD

  • Hospitalist Physician
  • Hato Rey, PR
National Provider Identifier
1003480658
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
339030 Issued in NY
Practice address
715 Ave Ponce de Leon
Hato Rey, PR 00917-5032
Phone
(787) 758-0000
NPI assigned
May 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 339030 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X PR

Addresses

Primary practice location

715 Ave Ponce de Leon
Hato Rey, PR 00917-5032

Mailing address

1561 Kudza Rd
West Palm Beach, FL 33415-5520
Phone (561) 385-4933

Other practice location 1

111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 917-9966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251030001817 NY Practitioner - Hospitalist 4183113012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 917-9966

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
339030NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York Medical Physician Associates PC Hospitalist CurrentSince Nov 1, 2025 Accepting new patients
New York Medical Physician Associates PC Hospitalist CurrentSince Nov 1, 2025 Accepting new patients
New York Medical Physician Associates PC Hospitalist Current Accepting new patients
MVHS Inc Past Accepting new patients
MVHS Inc Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

Interoperability endpoints

  • Direct secure messaging: lgonzalez35522@mvhealthsystem.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1003480658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 KUDZA RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334155520",
            "telephone_number": "561-385-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 AVE PONCE DE LEON",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "009175032",
            "telephone_number": "787-758-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135022517",
            "country_code": "US",
            "telephone_number": "315-917-9966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRANDA GONZALEZ",
        "first_name": "LILIBET",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "339030",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

Verify at the official NPI Registry.