Active NPI
Miguel Angel Gonzalez Perez, MD
- General Practice Physician
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN-837
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111506100 | Medicaid | FL |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ACN-837 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Consultants of Florida, LLC | Current | Accepting new patients | |
| Medical Consultants of Florida, LLC | General Practice | Current | Accepting new patients |
| Xpress Urgent Care, LLC. | General Practice | Current | 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.
-
- Internal Medicine Physician
- Deerfield Beach, FL
- NPI 1619169810
General Practice
-
- Urgent Care Clinic/Center
- Port St Lucie, FL
- NPI 1841566395
General Practice
-
- Non-Pharmacy Dispensing Site
- Port St Lucie, FL
- NPI 1396511465
-
- Nursing Care Agency
- Ponce, PR
- NPI 1689724882
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.