Individual provider Active NPI

Caridad Gonzalez, M.D.

  • General Practice Physician
  • Kissimmee, FL
National Provider Identifier
1033489042
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1014 Issued in FL
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

Updated by the provider on May 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120321000701 PR Practitioner - General Practice 3971763350 Reassigns benefits to 1 organization
Practice locations: Arecibo, PR
I20171130003277 FL Practitioner - General Practice 3971763350 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Caridad Gonzalez Garcia MD CSP General Practice CurrentSince Mar 1, 2020 Accepting new patients
Mydr Family Clinic, PA General Practice CurrentSince May 1, 2020 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.

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

Verify at the official NPI Registry.