Individual provider Active NPI

Roynel Gonzalez Carrillo, MD

  • Family Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1316185309
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME108237 Issued in FL
Practice address
801 S Douglas Rd
Pembroke Pines, FL 33025-1355
Phone
(954) 985-1470
NPI assigned
Jan 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME108237 FL
Student in an Organized Health Care Education/Training Program 390200000X 125-055087 IL
Family Medicine Physician 207Q00000X ME108237 FL Primary

Addresses

Primary practice location

801 S Douglas Rd
Pembroke Pines, FL 33025-1355

Mailing address

801 S Douglas Rd
Pembroke Pines, FL 33025-1355
Phone (954) 985-1470

Other names 1

  • Dr. Roynel Gonzalez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110801000722 FL Practitioner - Emergency MedicinePractitioner - General PracticePractitioner - Family Practice 7517135734 Reassigns benefits to 7 organizations
I20260623001579 GA Practitioner - Family Practice 7517135734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Small Hospital Innovations LLCGroup PAC ID 0840415444, 95 clinicians
Ies Florida PLLCGroup PAC ID 8921485004, 45 clinicians
South Miami Criticare IncGroup PAC ID 5092629808, 24 clinicians

Practice addresses (Care Compare)

1500 Lee Blvd
Lehigh Acres, FL 33936-4835
Phone (239) 369-2101

6200 SW 73 St
Miami, FL 33143-4679
Phone (786) 662-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.45 of 100Reported as group
Quality
81.9
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-055087ILMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Ies Florida PLLC Emergency Medicine CurrentSince Jan 22, 2026 Accepting new patients
Larkin Emergency Physicians LLC Emergency Medicine CurrentSince Aug 10, 2016 Accepting new patients
South Miami Criticare Inc. Emergency Medicine CurrentSince Mar 10, 2024 Accepting new patients
Mid-Florida Emergency Physicians, LLC Emergency Medicine CurrentSince Mar 4, 2014 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Feb 22, 2015 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Sep 6, 2019 Accepting new patients
East Florida Primary Care LLC Family Medicine CurrentSince Jul 9, 2013 Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

1475 W 49th Pl
Hialeah, FL 33012
Phone (305) 204-9318

1475 W 49th St
Hialeah, FL 33012
Phone (305) 824-4761

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3641 S Miami Ave
#380
Miami, FL 33133
Phone (305) 443-2315

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

8395 W Oakland Park Blvd
Ste E
Sunrise, FL 33351
Phone (954) 472-1322

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1316185309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S DOUGLAS RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330251355",
            "telephone_number": "954-985-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S DOUGLAS RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330251355",
            "telephone_number": "954-985-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ CARRILLO",
        "first_name": "ROYNEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-28",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME108237",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "125-055087",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME108237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROYNEL",
            "last_name": "GONZALEZ",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.