Miguel Angel Gonzalez, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME24288 Issued in FL

Practice address

401 SE 16TH St
Ft Lauderdale, FL 33316-2529

Phone

(954) 523-8108

Fax

(954) 525-9828

NPI assigned

Aug 15, 2005

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1154323640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SE 16TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162529",
            "telephone_number": "954-523-8108",
            "fax_number": "954-525-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SE 16TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162529",
            "telephone_number": "954-523-8108",
            "fax_number": "954-525-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME24288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035917300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jorge Antonio Gonzalez Jr., M.D.
• Jose R. Gonzalez, MSW, LCSW
• Jose Raphael Gonzalez, PSY.D.
• Katelyn Gonzalez
• Melisa Gonzalez
• Nayeli Gonzalez
• Pedro Jose Gonzalez, M.D.
• Rebecca Gonzalez
• Good Counseling Inc.
• Good Life ABA Therapy LLC

• Obstetrics & Gynecology Physician in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.