Gonzalez Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GONZALEZ MEDICAL PC

Doing business as

Gonzalez Tamayo Medical Center

Practice address

435 Fort Washington Ave Ste 1G1H
New York, NY 10033-3506

Phone

(212) 795-3000

NPI assigned

Jan 9, 2020

Organization subpart

No

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

Authorized official

Name

Patria R GonzalezNPI 1730111402

Title

MD

Phone

(646) 531-8006

Specialties & licenses 1

Addresses

Other names 1

• GONZALEZ TAMAYO MEDICAL CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patria Ramona Gonzalez, MD

  • Internal Medicine Physician
  • New York, NY
  • NPI 1730111402
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1366082166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 FORT WASHINGTON AVE STE 1G1H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 FORT WASHINGTON AVE STE 1G1H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333506",
            "telephone_number": "212-795-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALEZ MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "PATRIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "646-531-8006"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GONZALEZ TAMAYO MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GONZALEZ TAMAYO MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alejandro Gonzalez Della Valle, M.D.
• Maria Victoria Gonzalez Ferro
• Yaileny Gonzalez Gomez, PT, DPT
• Carlos Jose Gonzalez Gonzalez, MD
• Jorge Gonzalez Martin, MD
• Lourdes Gonzalez Santos, MD
• Ivonne Gonzalez Soto, LMSW
• Evelyn Anette Gonzalez Torres, RN
• Ana K Gonzalez Villasenor, PHYSICIAN ASSISTANT
• Arnaldo Gonzalez-Aviles, MD

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.