Organization Active NPI

Wound Care and Limb Salvage Group of Miami PA

  • Vascular Surgery Physician
  • Miami, FL
National Provider Identifier
1285107664
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
WOUND CARE AND LIMB SALVAGE GROUP OF MIAMI PA
Practice address
815 NW 57TH Ave Ste 130
Miami, FL 33126-2041
Phone
(305) 266-2286
Fax
(305) 266-7786
NPI assigned
Jan 8, 2019
Last updated
Jan 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Authorized official

Name
Manuel A Gonzalez, MDNPI 1639182371
Title
Owner
Phone
(305) 266-2286

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

815 NW 57TH Ave Ste 130
Miami, FL 33126-2041

Mailing address

815 NW 57TH Ave Ste 130
Miami, FL 33126-2041
Phone (305) 266-2286

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190311001293 FL Part B Supplier - Clinic/Group Practice 4981943891 Receives reassigned benefits from 5 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1285107664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 NW 57TH AVE STE 130",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262041",
            "telephone_number": "305-266-2286",
            "fax_number": "305-266-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 NW 57TH AVE STE 130",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262041",
            "telephone_number": "305-266-2286",
            "fax_number": "305-266-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE AND LIMB SALVAGE GROUP OF MIAMI PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-266-2286",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "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 Jan 8, 2019; 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.