Active NPI
Edward Gonzalez Fernandez, MD
- Family Medicine Physician
- Coral Gables, FL
National Provider Identifier
1295451565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ACN1501
- Practice address
- 135 Cadima Ave
Coral Gables, FL 33134-7354 - Phone
- (786) 557-8627
- NPI assigned
- Oct 18, 2022
- Last updated
- Mar 24, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23027 | PR | |
| Family Medicine Physician | 207Q00000X | ACN1501 | FL | Primary |
Addresses
Primary practice location
135 Cadima Ave
Coral Gables, FL 33134-7354
Mailing address
135 Cadima Ave
Coral Gables, FL 33134-7354
Phone (786) 557-8627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACN1501 | FL | MD | Family Medicine Physician |
| 23027 | PR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1295451565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 CADIMA AVE",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331347354",
"telephone_number": "786-557-8627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 CADIMA AVE",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331347354",
"telephone_number": "786-557-8627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ FERNANDEZ",
"first_name": "EDWARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-18",
"last_updated": "2023-03-24",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "23027",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ACN1501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
- Maria Pilar Gondra, PSYD
- Gonzalez & Sons Home Care Inc II
- Gonzalez & Sons Home Care,Inc. (Gonzalez & Sons Home Care II)
- Susel Liliana Gonzalez Acosta
- Michelle Gonzalez Alvarez, M.S.
- Ariadna Gonzalez Forte
- Lauren Gonzalez Gonzalez, DMD
- Muriel Emilce Gonzalez Grandoli, MPT
- Dunia Gonzalez Hernandez
- Yamila Gonzalez Hernandez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.