Individual provider Active NPI

Humberto Gonzalez, M.D

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1306004296
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
123532 Issued in FL
Practice address
9624 Coral Way
Miami, FL 33165-8015
Phone
(786) 703-3368
NPI assigned
May 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 123532 FL Primary

Addresses

Primary practice location

9624 Coral Way
Miami, FL 33165-8015

Mailing address

3209 SW 142ND PL
Miami, FL 33175-6591
Phone (305) 608-5469

Other practice location 1

9333 SW 152nd St
Palmetto Bay, FL 33157-1778
Phone (305) 251-2500

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
I20150903002060 FL Practitioner - Internal Medicine 0648599183 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
123532FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
QMC LLC CurrentSince Jul 28, 2019 Accepting new patients

Locations

5201 Blue Lagoon Dr
Fl 9
Miami, FL 33126
Phone (786) 334-1757

1611 NW 12th Ave
Apt C150
Miami, FL 33136
Phone (305) 585-3627

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

1611 NW 12th Ave
Ste 150C
Miami, FL 33136

9333 SW 152nd St
Palmetto Bay, FL 33157
Phone (305) 251-2500

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

Organizations & group practices 1

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": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306004296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 SW 142ND PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756591",
            "telephone_number": "305-608-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9624 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331658015",
            "telephone_number": "786-703-3368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9333 SW 152nd St",
            "address_purpose": "LOCATION",
            "city": "Palmetto Bay",
            "state": "FL",
            "postal_code": "331571778",
            "country_code": "US",
            "telephone_number": "305-251-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "HUMBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "123532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.