Enrique T Gonzalez, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME65628 Issued in FL

Practice address

4651 Sheridan St.
Suite #270
Hollywood, FL 33021-3422

Phone

(954) 989-6000

Fax

(954) 378-4775

NPI assigned

Aug 16, 2005

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: engonzalez@mhs.net

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.

• Children'S Medical Center, PA.

  • Exclusive Provider Organization
  • Pembroke Pines, FL
  • NPI 1184842395
  NPD (past)
• Vitalmd Group Holding LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1871572032

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1013909290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 SHERIDAN ST.",
            "address_2": "SUITE #270",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213422",
            "telephone_number": "954-989-6000",
            "fax_number": "954-378-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 SHERIDAN ST.",
            "address_2": "SUITE #270",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213422",
            "telephone_number": "954-989-6000",
            "fax_number": "954-378-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ENRIQUE",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME65628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376152500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EnGonzalez@mhs.net",
            "affiliation": "N",
            "endpointDescription": "Memorial Email",
            "address_1": "4651 Sheridan St.",
            "address_2": "Suite #270",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330213422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christina Gonzalez, M.A., CF-SLP
• Danaisi Gonzalez, ARNP
• Daynelis Gonzalez
• Dexi Coromoto Gonzalez IV
• Elie Gonzalez
• Giana Gonzalez
• Gisselle Gonzalez, DPT
• Irina Gonzalez, PHARM.D
• Jenessy Gonzalez
• Kelly Gonzalez, DMD

• Pediatrics Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.