Active NPI
Dario Gonzalez, ATC
- Athletic Trainer
- Tampa, FL
National Provider Identifier
1053826347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL4893
- Practice address
- 7561 Blackbird St
Tampa, FL 33621-1007 - Phone
- (402) 641-0630
- NPI assigned
- Dec 8, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AL4893 | FL | Primary |
Addresses
Primary practice location
7561 Blackbird St
Tampa, FL 33621-1007
Mailing address
2125 W Hiawatha St
Tampa, FL 33604-5732
Other practice location 1
4230 S Macdill Ave Ste E-200
Tampa, FL 33611-1901
Phone (402) 641-0630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL4893 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769644800000",
"number": "1053826347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2125 W HIAWATHA ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336045732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7561 BLACKBIRD ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336211007",
"telephone_number": "402-641-0630"
}
],
"practiceLocations": [
{
"address_1": "4230 S Macdill Ave Ste E-200",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336111901",
"country_code": "US",
"telephone_number": "402-641-0630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "DARIO",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-08",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL4893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.