Active NPI
Ariel Gonzalez III, MASSAGE THERAPY
- Physical Therapy Clinic/Center
- Doral, FL
National Provider Identifier
1225328404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- MA60320
- Practice address
- 8181 NW 36TH Street Ext
Suite 9a
Doral, FL 33166-6671 - Phone
- (305) 599-3294
- Fax
- (305) 599-3295
- NPI assigned
- Apr 8, 2011
- 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 |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | MA60320 | FL | Primary |
Addresses
Primary practice location
8181 NW 36TH Street Ext
Suite 9a
Doral, FL 33166-6671
Mailing address
8181 NW 36TH Street Ext
Suite 9a
Doral, FL 33166-6671
Phone (305) 599-3294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60320 | FL | MD | Physical Therapy Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302220800000",
"number": "1225328404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8181 NW 36TH STREET EXT",
"address_2": "SUITE 9A",
"city": "DORAL",
"state": "FL",
"postal_code": "331666671",
"telephone_number": "305-599-3294",
"fax_number": "305-599-3295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8181 NW 36TH STREET EXT",
"address_2": "SUITE 9A",
"city": "DORAL",
"state": "FL",
"postal_code": "331666671",
"telephone_number": "305-599-3294",
"fax_number": "305-599-3295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ARIEL",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "MASSAGE THERAPY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-08",
"last_updated": "2011-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "MA60320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.