Individual provider Active NPI

Efrain H Gonzalez, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Miami, FL
National Provider Identifier
1184687329
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
ME57627 Issued in FL
Practice address
11020 SW 88TH St Ste 102C
Miami, FL 33176
Phone
(786) 703-6120
Fax
(786) 703-6108
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME 57627 FL
Clinical Cardiac Electrophysiology Physician 207RC0001X ME57627 FL Primary

Addresses

Primary practice location

11020 SW 88TH St Ste 102C
Miami, FL 33176

Mailing address

11020 SW 88TH St Ste 102C
Miami, FL 33176-1217
Phone (786) 703-6120

Other practice location 1

7400 SW 87th Ave
Suite 100
Miami, FL 33173-5458
Phone (305) 275-8200

Other identifiers 1

IdentifierTypeStateIssuer
009322000MedicaidFL

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
I20040223000390 FL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8820984461 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11020 SW 88TH St
Suite 102C
Miami, FL 33176-1217
Phone (786) 703-6120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 57627FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Echocardiography Associates Inc CurrentSince May 10, 2009 Accepting new patients
Doral Imaging Institute LLC CurrentSince Aug 1, 2020 Accepting new patients
Efrain H Gonzalez MD PA Cardiovascular Disease CurrentSince Jun 1, 2018 Accepting new patients
Baptist Ekg Associates Inc CurrentSince May 10, 2009 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Jan 25, 2011 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Jan 25, 2011 Accepting new patients
Miami Preventive Cardiology Center ,LLC Cardiovascular Disease Past Accepting new patients

Locations

8950 SW 88th St
Ste 405
Miami, FL 33176
Phone (305) 412-7225

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

11020 SW 88th St
Ste 102C
Miami, FL 33176
Phone (305) 274-0170

8950 N Kendall Dr
Ste 307
Miami, FL 33176
Phone (305) 255-0777

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

8353 SW 124th St
Ste 208
Miami, FL 33156
Phone (305) 235-9078

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1184687329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 SW 88TH ST STE 102C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761217",
            "telephone_number": "786-703-6120",
            "fax_number": "786-703-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 SW 88TH ST STE 102C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33176",
            "telephone_number": "786-703-6120",
            "fax_number": "786-703-6108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7400 SW 87th Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331735458",
            "country_code": "US",
            "telephone_number": "305-275-8200",
            "fax_number": "305-274-7812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "EFRAIN",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 57627",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME57627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009322000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.