Active NPI
Pamela L Gonzalez, PA
- Physician Assistant
- Miami, FL
National Provider Identifier
1336245299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9102005
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001933300 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9102005 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Sterling Emergency Services of Miami Beach PA | Physician Assistant | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Current | 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.
-
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
- Emergency Medicine Physician
- North Miami Beach, FL
- NPI 1053645465
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1083912471
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
- Emergency Medicine Physician
- Miami Beach, FL
- NPI 1659355253
Physician Assistant
-
- Emergency Medicine Physician
- Miami, FL
- NPI 1295831584
-
- Emergency Medicine Physician
- Miami, FL
- NPI 1669419529
Physician Assistant
-
- Emergency Medical Services (Emergency Medicine) Physician
- North Miami Beach, FL
- NPI 1578690236
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.