Jose Manuel Gonzalez-Canal, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0068859 Issued in FL

Practice address

3390 Tamiami Trail
Suite 104
Port Charlotte, FL 33952

Phone

(941) 764-0444

Fax

(941) 764-0774

NPI assigned

Feb 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

Rutgers New Jersey Medical School, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jose M Gonzalez-Canal P aGroup PAC ID 4981781440, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Desoto Memorial Hospital Hospital, Arcadia, FL, CCN 100175
• HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Jose M Gonzalez-Canal P a

  • Psychiatry Physician
  • Port Charlotte, FL
  • NPI 1568514073
  Medicare reassignment Care Compare group NPD Authorized official
• Gulf Coast Counseling, Inc

  • Clinical Social Worker
  • Englewood, FL
  • NPI 1861602005
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Desoto County Hospital District

  dba Desoto Memorial Hospital

  • Rural Acute Care Hospital
  • Arcadia, FL
  • NPI 1528387842
  Care Compare affiliation
• Fawcett Memorial Hospital, Inc.

  dba HCA Florida Fawcett Hospital

  • General Acute Care Hospital
  • Port Charlotte, FL
  • NPI 1417901406
  Care Compare affiliation

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1285606558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 510276",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339510276",
            "telephone_number": "941-764-0444",
            "fax_number": "941-764-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 TAMIAMI TRAIL",
            "address_2": "SUITE 104",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "33952",
            "telephone_number": "941-764-0444",
            "fax_number": "941-764-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-CANAL",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0068859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252817700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Gomez, APRN
• Yeilis Gomez
• Hyasil Gonsalves-Barriero, M.D.
• Brenda Gonzalez Camacho, LCSW
• Denysse Gonzalez Castillo
• Maria E Gonzalez, NP
• Raymond Gonzalez, DMD
• Barbara Gordon, ARNP
• Vikti Gosalia, M.D.
• Lara Elaine Goulding, APRN

• Specialist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.

Verify at the official NPI Registry.