NPIMap

Individual provider Active NPI

Saul Nicolas Gonzalez, M.D.

  • Nephrology Physician
  • North Miami Beach, FL
National Provider Identifier
1174906861
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME137201 Issued in FL
Practice address
160 NW 170TH St
North Miami Beach, FL 33169-5576
Phone
(305) 651-1100
NPI assigned
Jun 30, 2015
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 31606R PR
Nephrology Physician 207RN0300X ME137201 FL Primary

Addresses

Primary practice location

160 NW 170TH St
North Miami Beach, FL 33169-5576

Mailing address

10360 NW 76TH Ter
Doral, FL 33178-4076
Phone (787) 467-6746

Other practice location 1

526Calle camino estrella
Urb Camino del Sol
Vega Baja, PR 00693
Phone (787) 467-6746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230105000406 FL Practitioner - Nephrology 9638549850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1475 W 49TH PL
Hialeah, FL 33012-3113
Phone (787) 467-6746

9737 NW 41St St
Suite 626
Doral, FL 33178-2924

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31606RPRMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney MD LLC Nephrology CurrentSince Oct 18, 2022 Accepting new patients
Kidney MD Associates LLC Nephrology CurrentSince Jan 15, 2025 Accepting new patients
Nulife Dialysis, Inc. Past Accepting new patients

Locations

9737 NW 41st St
Doral, FL 33178
Phone (305) 342-5740

1475 W 49th Pl
Hialeah, FL 33012
Phone (305) 204-9318

Organizations & group practices 3

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.

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1174906861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10360 NW 76TH TER",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784076",
            "telephone_number": "787-467-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NW 170TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695576",
            "telephone_number": "305-651-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "526Calle camino estrella",
            "address_2": "Urb Camino del Sol",
            "address_purpose": "LOCATION",
            "city": "Vega Baja",
            "state": "PR",
            "postal_code": "00693",
            "country_code": "US",
            "telephone_number": "787-467-6746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "SAUL",
        "middle_name": "NICOLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "31606R",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME137201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.