Fanny Gonzalez, M.D. P.a.

Primary specialty

Pediatric Nephrology PhysicianTaxonomy code 2080P0210X

License

ME106001 Issued in FL

Legal business name

FANNY GONZALEZ, M.D. P.A.

Practice address

2525 SW 3Rd Ave
Unit Cu1
Miami, FL 33129-2056

Phone

(305) 856-7005

Fax

(305) 856-7533

NPI assigned

Apr 28, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Fanny Gonzalez, M.D.NPI 1265642581

Title

Owner

Phone

(305) 856-7005

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/72416

Practitioners 1

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

• Fanny Gonzalez, M.D.

  • Pediatric Nephrology Physician
  • South Miami, FL
  • NPI 1265642581
  NPD (past) Authorized official

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1144547399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144653",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331144653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 SW 3RD AVE",
            "address_2": "UNIT CU1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331292056",
            "telephone_number": "305-856-7005",
            "fax_number": "305-856-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANNY GONZALEZ, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "FANNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-856-7005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "FL",
            "license": "ME106001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maylen Fang Tac Sabariego
• Eduardo Fanilla, MD
• Arelys Carmen Fanjul Broche
• Jessica Fanjul Sanchez
• Kathryn Fanning
• Fantastic Adult Daycare LLC
• Marlys Faraco, MSCJ
• Raquel N Faradji, MD
• Victor Faradji, MD
• Ahmed Farag, MD, PHD

• Pediatric Nephrology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Pediatric Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.