Individual provider Active NPI

Jose Manuel Enrique Gonzalez Boffill

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1184367948
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME175573 Issued in FL
Practice address
5961 NW 173Rd Dr FL 33015
Hialeah, FL 33015-5114
Phone
(305) 556-7500
NPI assigned
Apr 19, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME175573 FL Primary

Addresses

Primary practice location

5961 NW 173Rd Dr FL 33015
Hialeah, FL 33015-5114

Mailing address

5961 NW 173Rd Dr FL 33015
Hialeah, FL 33015-5114
Phone (305) 556-7500

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250722002094 FL Practitioner - Internal Medicine 5799291209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chen Neighborhood Medical Centers of South Florida, LLC 37 clinicians

Practice addresses (Care Compare)

5961 NW 173Rd Dr
Hialeah, FL 33015-5114
Phone (305) 556-7500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME175573FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chen Neighborhood Medical Centers of South Florida, LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

20801 NW 2nd Ave
Miami Gardens, FL 33169

5961 NW 173rd Dr
Miami Gardens, FL 33015
Phone (305) 556-7500

6037 Kimberly Blvd
North Lauderdale, FL 33068
Phone (954) 379-8994

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1184367948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5961 NW 173RD DR FL 33015",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155114",
            "telephone_number": "305-556-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5961 NW 173RD DR FL 33015",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155114",
            "telephone_number": "305-556-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ BOFFILL",
        "first_name": "JOSE MANUEL ENRIQUE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-19",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME175573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.