Susana Gonzalez, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

ME0052209 Issued in FL

Practice address

1225 Alton Rd
Miami Beach, FL 33139-3809

Phone

(305) 532-8355

Fax

(305) 532-9675

NPI assigned

Jul 26, 2006

Last updated

Nov 6, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susanagonzalez@aatah.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alma Medical Group, Inc

  • Specialist
  • Miami, FL
  • NPI 1053887778
  Medicare reassignment NPD
• Alma-Ata Healthcare LLC

  • Specialist
  • Miami, FL
  • NPI 1588965172
  NPD (past)
• Louis M Collazo MD PA

  • Specialist
  • Miami Beach, FL
  • NPI 1083848899
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1063436004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393809",
            "telephone_number": "305-532-8355",
            "fax_number": "305-532-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393809",
            "telephone_number": "305-532-8355",
            "fax_number": "305-532-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "SUSANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME0052209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048427000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08213",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesus Gonzalez Jr., M.D.
• Jorge A Gonzalez, DO
• Kailey Gonzalez
• Kenia Gonzalez, APRN, FNP-C
• Michelle Gonzalez
• Tanya Marie Gonzalez, M.D.
• Vicente Gonzalez, CRNA
• Yvette Marie Gonzalez, DO
• Gregory Goodman
• Gordon Foot Care,PA

• Geriatric Medicine (Internal Medicine) Physician in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.