Individual provider Active NPI

Graciela Verdecia Gonzalez, MD

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1336815976
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1456 Issued in FL
Practice address
5378 W 16TH Ave
Hialeah, FL 33012-2165
Phone
(305) 820-4101
Fax
(305) 820-2885
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1456 FL Primary

Addresses

Primary practice location

5378 W 16TH Ave
Hialeah, FL 33012-2165

Mailing address

8261 NW 8TH St Apt 429
Miami, FL 33126-3965
Phone (786) 286-3358

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220902002577 FL Practitioner - General Practice 1951785369 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Claremedica Viking LLCGroup PAC ID 4789112301, 75 clinicians

Practice addresses (Care Compare)

5378 W 16TH Ave
Hialeah, FL 33012-2165
Phone (305) 820-4101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN1456FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Interamerican Medical Center Group LLC Current Accepting new patients
Claremedica Viking LLC CurrentSince Feb 3, 2025 Accepting new patients
Interamerican Medical Center Group LLC CurrentSince May 22, 2023 Accepting new patients
Orcasita M. D. & Associates LLC PastSince Mar 1, 2024 Accepting new patients
Senior Medical Associates LLC Past Accepting new patients
Jose Orcasita-NG, LLC PastSince Mar 1, 2024 Accepting new patients

Locations

5378 W 16th Ave
Hialeah, FL 33012
Phone (305) 820-4101

27455 S Dixie Hwy
Unit 1
Homestead, FL 33032
Phone (305) 245-3247

1000 NW 57th Ct
Ste 400
Miami, FL 33126

15105 NW 77th Ave
Fl 4
Miami Lakes, FL 33014
Phone (305) 455-2737

15105 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 455-2737

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1336815976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8261 NW 8TH ST APT 429",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263965",
            "telephone_number": "786-286-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5378 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122165",
            "telephone_number": "305-820-4101",
            "fax_number": "305-820-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDECIA GONZALEZ",
        "first_name": "GRACIELA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.