Eduardo R Gonzalez-Blanco, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME45502 Issued in FL

Practice address

1111 12TH St
Suite 108
Key West, FL 33040-4088

Phone

(305) 294-5576

Fax

(305) 294-8182

NPI assigned

Dec 6, 2006

Sex

Male

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 1

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

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1093874380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 12TH ST",
            "address_2": "SUITE 108",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404088",
            "telephone_number": "305-294-5576",
            "fax_number": "305-294-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 12TH ST",
            "address_2": "SUITE 108",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404088",
            "telephone_number": "305-294-5576",
            "fax_number": "305-294-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-BLANCO",
        "first_name": "EDUARDO",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME45502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME45502",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yevgenia J Gitlin, P.T.
• Sidney Hirsch Goldman, M.D.
• Jennifer Lee Goldstein
• Steven Harold Gollish, M.D.
• Alexandra Gomez, ARNP
• Good Health Outcomes, Inc.
• Bryna Gordon
• Michael Gordon, DMD
• Jennifer Grace, LCSW
• Lisa Graft, RN

• Urology Physician in Key West, FL
• Providers in Key West, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.