Individual provider Active NPI

Manuel D. Gonzalez, MD

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1356584361
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME103534 Issued in FL
Practice address
2141 NW 7TH St
Miami, FL 33125-3483
Phone
(786) 464-5120
Fax
(786) 464-5125
NPI assigned
Apr 7, 2009
Last updated
Jan 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME103534 FL Primary

Addresses

Primary practice location

2141 NW 7TH St
Miami, FL 33125-3483

Mailing address

2141 NW 7TH St
Miami, FL 33125-3483
Phone (786) 464-5120

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
I20091012000157 FL Practitioner - Internal Medicine 8527104249 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10520 SW 8TH St
Miami, FL 33174-2602
Phone (786) 464-5120

11300 NW 87TH CT
Suite 141
Hialeah Gardens, FL 33018-4520
Phone (786) 464-5120

2141 NW 7TH St
Miami, FL 33125-3483
Phone (786) 464-5120

6109 W Pembroke Rd
Hollywood, FL 33023-2213
Phone (954) 239-7054

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Doctors Group, Corp. CurrentSince Sep 29, 2015 Accepting new patients
Manuel D Gonzalez MD PA Current Accepting new patients
Manuel D Gonzalez MD PA Specialist CurrentSince May 19, 2010 Accepting new patients
Psyche Harmony Group, LLC. CurrentSince Mar 24, 2024 Accepting new patients
St Jude Medical Group Corp Internal Medicine Past Accepting new patients

Locations

2100 Ponce de Leon Blvd
Ste 1240
Coral Gables, FL 33134
Phone (305) 987-1007

11300 NW 87th Ct
Ste 141
Hialeah Gdns, FL 33018
Phone (305) 364-8600

2040 Washington St
Hollywood, FL 33020
Phone (754) 348-5001

6109 Pembroke Rd
Hollywood, FL 33023
Phone (954) 239-7054

721 NW 21st Ct
Ste 100
Miami, FL 33125
Phone (786) 310-7115

1127 NW 22nd Ave
Miami, FL 33125
Phone (305) 649-6111

2141 NW 7th St
Miami, FL 33125
Phone (305) 642-2345

4822 NW 167th St
Miami Lakes, FL 33014
Phone (305) 621-3448

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1356584361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253483",
            "telephone_number": "786-464-5120",
            "fax_number": "786-464-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253483",
            "telephone_number": "786-464-5120",
            "fax_number": "786-464-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MANUEL",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-07",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME103534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.