Active NPI
Juan C Gonzalez
- Occupational Therapy Assistant
- Miami, FL
National Provider Identifier
1083277552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 12416
- Practice address
- 13155 SW 134TH St
Miami, FL 33186-4486 - Phone
- (786) 842-3624
- NPI assigned
- Apr 19, 2019
- Last updated
- Apr 19, 2019
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 12416 | Primary |
Addresses
Primary practice location
13155 SW 134TH St
Miami, FL 33186-4486
Mailing address
13155 SW 134TH St Ste 222
Miami, FL 33186-4489
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Super Hero Speech, P.a. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Miami, FL
- NPI 1124495791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555632000000",
"number": "1083277552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13155 SW 134TH ST STE 222",
"city": "MIAMI",
"state": "FL",
"postal_code": "331864489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13155 SW 134TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331864486",
"telephone_number": "786-842-3624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JUAN",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-19",
"last_updated": "2019-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": "12416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.