Horacio Gonzalez MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME41239 Issued in FL

Legal business name

HORACIO GONZALEZ MD PA

Practice address

515 State Road 436
Suite 1006
Casselberry, FL 32707-5341

Phone

(407) 834-3730

Fax

(407) 834-4863

NPI assigned

May 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Horacio Gonzalez, M.DNPI 1710901095

Title

Owner

Phone

(407) 834-3730

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Horacio Gonzalez, MD

  • Specialist
  • Altamonte Springs, FL
  • NPI 1710901095
  NPD (past) Authorized official

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1083872725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 STATE ROAD 436",
            "address_2": "SUITE 1006",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075341",
            "telephone_number": "407-834-3730",
            "fax_number": "407-834-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 STATE ROAD 436",
            "address_2": "SUITE 1006",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075341",
            "telephone_number": "407-834-3730",
            "fax_number": "407-834-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORACIO GONZALEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "HORACIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-834-3730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME41239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068958100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francis Corina Hoffmann, DDS
• Ingrid Corina Hoffmann
• Christine Marie Holden
• Holiday CVS LLC
• Damiah S Hollis
• Horizon Management Center
• Robert Stephen Howard Jr.
• Kristen King Howell, BCBA
• Nelsy E Hudson, ARNP
• Huffman & Kern Ventures

• Primary Care Clinic/Center in Casselberry, FL
• Providers in Casselberry, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.