Individual provider Active NPI

Miguel Angel Gonzalez Perez, MD

  • General Practice Physician
  • Port St Lucie, FL
National Provider Identifier
1285604322
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN-837 Issued in FL
Practice address
9109 S US Highway 1 Ste 101
Port St Lucie, FL 34952-3453
Phone
(772) 398-1305
Fax
(772) 398-1307
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN-837 FL Primary
General Practice Physician 208D00000X 15000 PR

Addresses

Primary practice location

9109 S US Highway 1 Ste 101
Port St Lucie, FL 34952-3453

Mailing address

PO Box 4189
Deerfield Beach, FL 33442-4189
Phone (954) 363-9582

Other practice location 1

672 SW Prima Vista Blvd Ste 101
Port St Lucie, FL 34983-1820
Phone (772) 905-2555

Other identifiers 1

IdentifierTypeStateIssuer
111506100MedicaidFL

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
I20161206000043 FL Practitioner - General Practice 0648214841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Xpress Urgent Care LLCGroup PAC ID 0042454944, 31 clinicians
Medical Consultants of Florida LLCGroup PAC ID 6002988847, 35 clinicians

Practice addresses (Care Compare)

672 SW Prima Vista Blvd
Suite 102
Port Saint Lucie, FL 34983-1820
Phone (772) 905-2560

9109 S US Hwy 1
Suite 101
Port St Lucie, FL 34952-3453
Phone (772) 398-1305

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN-837FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Consultants of Florida, LLC CurrentSince Dec 3, 2023 Accepting new patients
Medical Consultants of Florida, LLC General Practice CurrentSince Jul 1, 2021 Accepting new patients
Xpress Urgent Care, LLC. General Practice CurrentSince Dec 30, 2021 Accepting new patients
IV Home Therapy Corp Past Accepting new patients

Locations

1485 Gateway Blvd
Boynton Beach, FL 33426
Phone (561) 231-6999

9109 S US Highway 1
Ste 101
Port St Lucie, FL 34952
Phone (772) 398-1305

672 SW Prima Vista Blvd
#10
Port St Lucie, FL 34983
Phone (772) 905-2555

672 SW Prima Vista Blvd
Ste 102
Port St Lucie, FL 34983
Phone (772) 905-2555

672 SW Prima Vista Blvd
Ste 101
Port St Lucie, FL 34983
Phone (772) 905-2555

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1285604322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4189",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334424189",
            "telephone_number": "954-363-9582",
            "fax_number": "954-363-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9109 S US HIGHWAY 1 STE 101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523453",
            "telephone_number": "772-398-1305",
            "fax_number": "772-398-1307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "672 SW Prima Vista Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349831820",
            "country_code": "US",
            "telephone_number": "772-905-2555",
            "fax_number": "772-336-8153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ PEREZ",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN-837",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111506100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.