Individual provider Active NPI

Ramon Gonzalez

  • Family Nurse Practitioner
  • Palm Springs, FL
National Provider Identifier
1316533433
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11010409 Issued in FL
Practice address
3580 Lake Worth Rd
Palm Springs, FL 33461-4029
Phone
(561) 425-5075
Fax
(561) 360-3467
NPI assigned
Dec 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11010409 FL
Family Nurse Practitioner 363LF0000X 11010409 FL Primary

Addresses

Primary practice location

3580 Lake Worth Rd
Palm Springs, FL 33461-4029

Mailing address

3580 Lake Worth Rd
Palm Springs, FL 33461-4029
Phone (561) 425-5075

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220106000489 FL Practitioner - Nurse Practitioner 2163532383 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Soma Medical Center PA 6Group PAC ID 6406239540, 5 clinicians

Practice addresses (Care Compare)

3580 Lake Worth Rd
Palm Springs, FL 33461-4029
Phone (561) 425-5075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11010409FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Soma Medical Center, PA CurrentSince Dec 1, 2021 Accepting new patients
Soma Medical Center, PA CurrentSince Dec 1, 2021 Accepting new patients
Soma Medical Center PA 6 CurrentSince Apr 26, 2023 Accepting new patients
Soma Medical Center .PA #6 CurrentSince Apr 26, 2023 Accepting new patients
Zda Medical Equipment.Inc CurrentSince Nov 30, 2000 Accepting new patients

Locations

3580 Lake Worth Rd
Palm Springs, FL 33461
Phone (561) 425-5075

3255 Forest Hill Blvd
#103
West Palm Beach, FL 33406
Phone (561) 964-4577

3255 Forest Hill Blvd
West Palm Beach, FL 33406
Phone (561) 433-5050

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFIECD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFGECD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IEEEBD

Organizations & group practices 5

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": "1607817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1316533433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 LAKE WORTH RD",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334614029",
            "telephone_number": "561-425-5075",
            "fax_number": "561-360-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 LAKE WORTH RD",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334614029",
            "telephone_number": "561-425-5075",
            "fax_number": "561-360-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "RAMON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-13",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010409",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

Verify at the official NPI Registry.