Jesus Gonzalez, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME152847 Issued in FL

Practice address

9980 Central Park Blvd N Ste 126
Boca Raton, FL 33428-1703

Phone

(561) 375-2514

NPI assigned

Aug 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1336131671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BLVD N STE 126",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281703",
            "telephone_number": "561-375-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BLVD N STE 126",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281703",
            "telephone_number": "561-375-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JESUS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME152847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8936171",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Lynn Gonzalez, LAC, DIPL. OM
• Anna Gonzalez, LCSW
• Cynthia Rivera Gonzalez, CAP
• Dayanara Denise Gonzalez
• Harold Gonzalez
• Kyra Gonzalez, BCBA
• Kyrstin Ashley Gonzalez
• Martha Gonzalez
• Nancy Gonzalez
• Sophia De Matos Gonzalez, RBT

• Internal Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.