Organization Active NPI

Manuel D Gonzalez MD PA

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1235453580
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MANUEL D GONZALEZ MD PA
Practice address
2141 NW 7TH St
Miami, FL 33125-3483
Phone
(305) 987-1007
Fax
(305) 702-9442
NPI assigned
Mar 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Authorized official

Name
Dr. Manuel D Gonzalez, MD PANPI 1356584361
Title
Medical Doctor
Phone
(305) 987-1007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME103534 FL
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2141 NW 7TH St
Miami, FL 33125-3483

Mailing address

2141 NW 7TH St
Miami, FL 33125-3483
Phone (305) 987-1007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100817000658 FL Part B Supplier - Clinic/Group Practice 6204960982 Receives reassigned benefits from 4 practitioners
Practice locations: Miami Gardens, FL; Miami, FL; Hollywood, FL; Hialeah Gardens, FL

National Provider Directory

National Provider Directory

Locations

721 NW 21st Ct
Ste 100
Miami, FL 33125
Phone (786) 464-5120

10520 SW 8th St
Miami, FL 33174
Phone (786) 464-5120

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1235453580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253483",
            "telephone_number": "305-987-1007",
            "fax_number": "305-702-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253483",
            "telephone_number": "305-987-1007",
            "fax_number": "305-702-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL D GONZALEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "305-987-1007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME103534",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.