Individual provider Active NPI

Pedro Jose Gonzalez, M.D.

  • Surgery Physician
  • Fort Lauderdale, FL
National Provider Identifier
1053407205
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME73933 Issued in FL
Practice address
2800 E Commercial Blvd Ste 102
Fort Lauderdale, FL 33308-4202
Phone
(954) 491-0900
Fax
(954) 491-1306
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME73933 FL Primary
Specialist 174400000X ME73933 FL
Surgical Critical Care Physician 2086S0102X ME73933 FL
Trauma Surgery Physician 2086S0127X ME73933 FL

Addresses

Primary practice location

2800 E Commercial Blvd Ste 102
Fort Lauderdale, FL 33308-4202

Mailing address

2800 E Commercial Blvd Ste 102
Fort Lauderdale, FL 33308-4202
Phone (954) 491-0900

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110520000450 FL Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 5294820312 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
University of Miami, LM Miller School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trauma and Critical Care Associates, P.a.Group PAC ID 0446655526, 7 clinicians
Broward Surgical Associates IncGroup PAC ID 7416911326, 5 clinicians

Practice addresses (Care Compare)

201 E Sample Rd
Deerfield Beach, FL 33064-3502
Phone (954) 941-8300

2800 E Commercial Blvd
Suite 102
Fort Lauderdale, FL 33308-4202
Phone (954) 491-0900

Hospital & facility affiliations

  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080
  • West Boca Medical Center Hospital, Boca Raton, FL, CCN 100268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME73933FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delray Trauma Associates, LLC Specialist CurrentSince Apr 1, 2022 Accepting new patients
Trauma and Critical Care Associates, LLC Surgery CurrentSince Apr 13, 2021 Accepting new patients
Broward Surgical Associates, Inc. Specialist CurrentSince Aug 1, 1998 Accepting new patients

Locations

201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

2006 NE 49th St
Ft Lauderdale, FL 33308
Phone (954) 210-4120

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

2800 E Commercial Blvd
Ste 102
Ft Lauderdale, FL 33308
Phone (954) 491-0900

6405 N Federal Hwy
Ste 401
Ft Lauderdale, FL 33308
Phone (954) 491-0900

Interoperability endpoints

  • Direct secure messaging: pedro.gonzalez.p1@direct.besturology.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1053407205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E COMMERCIAL BLVD STE 102",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084202",
            "telephone_number": "954-491-0900",
            "fax_number": "954-491-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E COMMERCIAL BLVD STE 102",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084202",
            "telephone_number": "954-491-0900",
            "fax_number": "954-491-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "PEDRO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME73933",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME73933",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "FL",
            "license": "ME73933",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "FL",
            "license": "ME73933",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.