Misael L Gongora Veliz, MD
Individual provider Active NPI Adult Medicine Physician · Miami, FL
NPI 1013568484 · NPPES record last updated Nov 30, 2023
Key facts
- NPI
- 1013568484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Medicine Physician 207QA0505X
- License
- ACN1189 (FL)
- Practice address
- 11348 Quail Roost Dr
Miami, FL 33157-6567 - Phone
- (305) 253-1660
- Fax
- (305) 253-5775
- NPI assigned
- Sep 26, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Claremedica Viking LLC
Practice addresses (Care Compare)
11348 Quail Roost Dr
Miami, FL 33157-6567
Phone (305) 253-1660
Hospital & facility affiliations
- Gentiva
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191112001086 | FL | Practitioner - General Practice |
8123450269 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACN1189 | FL | MD | Adult Medicine Physician |
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Claremedica Viking LLC | Current |
Accepting new patients | |
| Interamerican Medical Center Group LLC | Current | Accepting new patients | |
| Senior Medical Associates LLC | Past | Accepting new patients |
Locations
27455 S Dixie Hwy
Unit 1
Homestead, FL 33032
Phone (305) 245-3247
1000 NW 57th Ct
Ste 400
Miami, FL 33126
4155 SW 130th Ave
Ste 201
Miami, FL 33175
Phone (305) 348-3627
11348 Quail Roost Dr
Miami, FL 33157
Phone (305) 253-1660
15105 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 455-2737
15105 NW 77th Ave
Fl 4
Miami Lakes, FL 33014
Phone (305) 455-2737
Networks
- FL HMO C-SNP
- FL HMO
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | ACN1189 | FL | Yes |
Addresses
Primary practice location
11348 Quail Roost Dr
Miami, FL 33157-6567
Mailing address
11348 Quail Roost Dr
Miami, FL 33157-6567
Phone (305) 253-1660
Other providers in Miami, FL
- Liennis Mary Gongar Quinones
- Dairelys D. Gongar
- Catherine Gongora Lopez
- Alberto Jorge Gongora Mayo
- Ray Gongora Serrano
- Teresa Maria Gongora-Garcia
- Delia T Gongora
- Erika Gongora
- Jeniffer Gongora
- Mariela Goni Camejo
All providers in Miami, FL · Adult Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.