Individual provider Active NPI

Pamela L Gonzalez, PA

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1336245299
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9102005 Issued in FL
Practice address
5959 NW 7TH St
Miami, FL 33126-3129
Phone
(305) 264-1000
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9102005 FL Primary

Addresses

Primary practice location

5959 NW 7TH St
Miami, FL 33126-3129

Mailing address

3618 Palmetto Ave
Coral Gables, FL 33133-6221
Phone (305) 444-5495

Other identifiers 1

IdentifierTypeStateIssuer
001933300MedicaidFL

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
I20041029000182 FL Practitioner - Physician Assistant 6800858101 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9102005FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Apr 8, 2020 Accepting new patients
Sterling Emergency Services of Miami Beach PA Physician Assistant CurrentSince Jun 20, 2017 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Apr 8, 2020 Accepting new patients
Public Health Trust of Miami Dade County Florida Past Accepting new patients
Marshall Amaya & Anton P L Physician Assistant Past Accepting new patients
Ma Emergency Associates PL Past Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2845 NE 199th St
Miami, FL 33180
Phone (305) 692-1000

Organizations & group practices 10

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1336245299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 PALMETTO AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331336221",
            "telephone_number": "305-444-5495",
            "fax_number": "305-444-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263129",
            "telephone_number": "305-264-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "PAMELA",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001933300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.