Fernando Gonzalez Vergara, M.D, P.a

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FERNANDO GONZALEZ VERGARA, M.D, P.A

Doing business as

Innovative Health

Practice address

8050 N University Dr
Tamarac, FL 33321-2115

Phone

(786) 553-3391

Fax

(954) 998-7307

NPI assigned

Jun 14, 2016

Last updated

Nov 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ana Ivette Gonzalez

Title

Manager

Phone

(786) 553-3391

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Innovative Health Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fernando Gonzalez Vergara, M.D

  • Internal Medicine Physician
  • Tamarac, FL
  • NPI 1518276146
  Medicare reassignment

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1265882906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 N UNIVERSITY DR",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212115",
            "telephone_number": "786-553-3391",
            "fax_number": "954-998-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 N UNIVERSITY DR",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212115",
            "telephone_number": "786-553-3391",
            "fax_number": "954-998-7307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1791 NW 123rd Ave",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330264383",
            "country_code": "US",
            "telephone_number": "954-391-9192",
            "fax_number": "954-998-7307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FERNANDO GONZALEZ VERGARA, M.D, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "IVETTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-553-3391",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE",
            "identifier": "ME114208",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Innovative Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn Ferguson, LMHC
• Idia Fernandez Gil
• Jorge Amed Fernandez Perez, MD
• Alberto J. Fernandez Sabater, MD
• Jasline Fernandez, PA-C
• Herenia Ferreiro, LCSW
• John Ferro, D.C.
• Fides Management, Inc
• Dora Finamore, EDD, LMHC
• Natasha Nadia Findley, OT

• Internal Medicine Physician in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.