NPIMap

Individual provider Active NPI

Roberto Raul Gonzalez, M.D.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1316197668
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME114294 Issued in FL
Practice address
3850 W. Flagler St.
Miami, FL 33134-1604
Phone
(305) 774-3400
Fax
(305) 442-0482
NPI assigned
Sep 23, 2008
Last updated
Apr 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP10028868 TX
Family Medicine Physician 207Q00000X 47075 TN
Family Medicine Physician 207Q00000X ME114294 FL Primary

Addresses

Primary practice location

3850 W. Flagler St.
Miami, FL 33134-1604

Mailing address

3850 W. Flagler St.
Miami, FL 33134-1604
Phone (305) 774-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130405000387 FL Practitioner - Family Practice 7911170717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 585-1111

18910 S Dixie Hwy
Uhealth Jackson Urgent Care Cutler Bay
Cutler Bay, FL 33157-7711
Phone (305) 585-9230

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.01 of 100Reported as group
Quality
72.99
Promoting interoperability
82
Improvement activities
40
Cost
78.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME114294FLMDFamily Medicine Physician
47075TNMDFamily Medicine Physician
BP10028868TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Trust of Miami Dade County Florida CurrentSince Nov 18, 2013 Accepting new patients
Public Health Trust of Miami Dade County Florida Current Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Jul 30, 2025 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Nov 18, 2013 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Jul 30, 2025 Accepting new patients
Public Health Trust of Dade County Florida Family Medicine Past Accepting new patients

Locations

18910 S Dixie Hwy
Cutler Bay, FL 33157
Phone (305) 585-9230

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

971 NW 2nd St
Miami, FL 33128
Phone (305) 545-5180

13120 Biscayne Blvd
North Miami, FL 33181
Phone (305) 355-8234

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1316197668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 W. FLAGLER ST.",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331341604",
            "telephone_number": "305-774-3400",
            "fax_number": "305-442-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 W. FLAGLER ST.",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331341604",
            "telephone_number": "305-774-3400",
            "fax_number": "305-442-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ROBERTO",
        "middle_name": "RAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-23",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10028868",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "47075",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME114294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.