Misael L Gongora Veliz, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

ACN1189 Issued in FL

Practice address

11348 Quail Roost Dr
Miami, FL 33157-6567

Phone

(305) 253-1660

Fax

(305) 253-5775

NPI assigned

Sep 26, 2019

Last updated

Nov 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General PracticeAlso: Family Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Claremedica Viking LLCGroup PAC ID 4789112301, 75 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gentiva Hospice, Miami, FL, CCN 101548

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• FL HMO
• FL HMO C-SNP

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

• Claremedica Viking LLC

  • Family Medicine Physician
  • Homestead, FL
  • NPI 1992520118
  Medicare reassignment Care Compare group NPD
• Interamerican Medical Center Group LLC

  dba IMC Health

  • Family Medicine Physician
  • Miami, FL
  • NPI 1144543216
  Medicare reassignment NPD
• Senior Medical Associates LLC

  • Family Medicine Physician
  • Coral Springs, FL
  • NPI 1881358299
  NPD (past)

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

• Odyssey Healthcare of Marion County, LLC

  dba Gentiva

  • Community Based Hospice Care Agency
  • Miami, FL
  • NPI 1114159902
  Care Compare affiliation

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1013568484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11348 QUAIL ROOST DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331576567",
            "telephone_number": "305-253-1660",
            "fax_number": "305-253-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11348 QUAIL ROOST DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331576567",
            "telephone_number": "305-253-1660",
            "fax_number": "305-253-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONGORA VELIZ",
        "first_name": "MISAEL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-26",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ACN1189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liennis Mary Gongar Quinones
• Dairelys D. Gongar
• Catherine Gongora Lopez, CBHCM
• Alberto Jorge Gongora Mayo, APRN
• Ray Gongora Serrano
• Teresa Maria Gongora-Garcia, ARNP
• Delia T Gongora
• Erika Gongora
• Jeniffer Gongora
• Mariela Goni Camejo

• Adult Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.