Active NPI
Caridad Gonzalez, M.D.
- General Practice Physician
- Kissimmee, FL
National Provider Identifier
1033489042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN1014
- Practice address
- 1952 N John Young Pkwy
Kissimmee, FL 34741-3221 - Phone
- (407) 978-6605
- Fax
- (407) 978-6610
- NPI assigned
- Jan 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 18379 | PR | |
| General Practice Physician | 208D00000X | ACN1014 | FL | Primary |
Addresses
Primary practice location
1952 N John Young Pkwy
Kissimmee, FL 34741-3221
Mailing address
Calle C #161 Parcelas Navas
Arecibo, PR 00612-9423
Phone (787) 452-8796
Other practice location 1
bo. dominguito carretera 635 km 0.1
Arecibo, PR 00612
Phone (787) 650-2888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Bo Dominguito Carretera 635 KM
Suite 1
Arecibo, PR 00612
Phone (787) 650-2888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caridad Gonzalez Garcia MD CSP | General Practice | Current | Accepting new patients |
| Mydr Family Clinic, PA | General Practice | Current | Accepting new patients |
Locations
1952 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 343-1284
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 2
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.
-
- General Practice Physician
- Kissimmee, FL
- NPI 1619504479
-
- General Practice Physician
- Arecibo, PR
- NPI 1740681667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1033489042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE C #161 PARCELAS NAVAS",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006129423",
"telephone_number": "787-452-8796",
"fax_number": "787-878-6291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1952 N JOHN YOUNG PKWY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347413221",
"telephone_number": "407-978-6605",
"fax_number": "407-978-6610"
}
],
"practiceLocations": [
{
"address_1": "bo. dominguito carretera 635 km 0.1",
"address_purpose": "LOCATION",
"city": "Arecibo",
"state": "PR",
"postal_code": "00612",
"country_code": "US",
"telephone_number": "787-650-2888",
"fax_number": "787-650-2888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "CARIDAD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-06",
"last_updated": "2021-05-24",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "18379",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN1014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.