Active NPI
Orlando Ruben Gonzalez, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Orlando, FL
National Provider Identifier
1306818323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- ME0046140
- Practice address
- 84 W Jersey St
Suite 1
Orlando, FL 32806-4442 - Phone
- (407) 422-1377
- Fax
- (407) 422-1384
- NPI assigned
- Feb 3, 2006
- 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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | ME0046140 | FL | |
| Cytopathology Physician | 207ZC0500X | ME0046140 | FL | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | ME0046140 | FL | |
| Hematology (Pathology) Physician | 207ZH0000X | ME0046140 | FL | |
| Immunopathology Physician | 207ZI0100X | ME0046140 | FL | |
| Medical Microbiology Physician | 207ZM0300X | ME0046140 | FL | |
| Neuropathology Physician | 207ZN0500X | ME0046140 | FL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME0046140 | FL | Primary |
| Chemical Pathology Physician | 207ZP0104X | ME0046140 | FL | |
| Pediatric Pathology Physician | 207ZP0213X | ME0046140 | FL |
Addresses
Primary practice location
84 W Jersey St
Suite 1
Orlando, FL 32806-4442
Mailing address
84 W Jersey St
Suite 1
Orlando, FL 32806-4442
Phone (407) 422-1377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061440800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.5 of 100
- Quality
- 85
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0046140 | FL | MD | Hematology (Pathology) Physician |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470009600000",
"number": "1306818323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 W JERSEY ST",
"address_2": "SUITE 1",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328064442",
"telephone_number": "407-422-1377",
"fax_number": "407-422-1379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 W JERSEY ST",
"address_2": "SUITE 1",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328064442",
"telephone_number": "407-422-1377",
"fax_number": "407-422-1384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ORLANDO",
"middle_name": "RUBEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2016-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "FL",
"license": "ME0046140",
"primary": false
},
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "FL",
"license": "ME0046140",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "FL",
"license": "ME0046140",
"primary": false
},
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "FL",
"license": "ME0046140",
"primary": false
},
{
"code": "207ZI0100X",
"taxonomy_group": "",
"desc": "Pathology, Immunopathology",
"state": "FL",
"license": "ME0046140",
"primary": false
},
{
"code": "207ZM0300X",
"taxonomy_group": "",
"desc": "Pathology, Medical Microbiology",
"state": "FL",
"license": "ME0046140",
"primary": false
},
{
"code": "207ZN0500X",
"taxonomy_group": "",
"desc": "Pathology, Neuropathology",
"state": "FL",
"license": "ME0046140",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "ME0046140",
"primary": true
},
{
"code": "207ZP0104X",
"taxonomy_group": "",
"desc": "Pathology, Chemical Pathology",
"state": "FL",
"license": "ME0046140",
"primary": false
},
{
"code": "207ZP0213X",
"taxonomy_group": "",
"desc": "Pathology, Pediatric Pathology",
"state": "FL",
"license": "ME0046140",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "061440800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.