Active NPI
Jose Manuel Enrique Gonzalez Boffill
- Internal Medicine Physician
- Hialeah, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME175573
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME175573 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chen Neighborhood Medical Centers of South Florida, LLC | Current | 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.
-
- Specialist
- Miami Gardens, FL
- NPI 1881024800
FL
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.