Odalys Gonzalez Marey

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME143400 Issued in FL

Practice address

25 NW 57TH Ave
Miami, FL 33126-4802

Phone

(305) 728-4823

Fax

(855) 740-1524

NPI assigned

Nov 10, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Odalys Maria Gonzalez Marey Other name

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

General Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Univida Medical Center LLCGroup PAC ID 7214316868, 22 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: odalys.gonzalez@univ.eclinicaldirectplus.com

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.

• Univida Medical Center LLC

  • General Practice Physician
  • West Miami, FL
  • NPI 1487321774
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638057600000",
    "number": "1306242805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NW 57TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331264802",
            "telephone_number": "305-728-4823",
            "fax_number": "855-740-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NW 57TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331264802",
            "telephone_number": "305-728-4823",
            "fax_number": "855-740-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ MAREY",
        "first_name": "ODALYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18932",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN665",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME143400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ODALYS",
            "last_name": "GONZALEZ MAREY",
            "middle_name": "MARIA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dania Gonzalez Machado
• Daysi M Gonzalez Machado
• Diana Gonzalez Machado
• Gertrudis Gonzalez Machado, APRN
• Marianela Gonzalez Maldonado
• Melody Maria Gonzalez Marquez
• Ariel Gonzalez Martin
• Arlet Ines Gonzalez Martinez
• Lady Maria Gonzalez Martinez
• Larry Gonzalez Martinez, RBT

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2021; 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.