Individual provider Active NPI

Loira Enid Gonzalez, MD

  • Family Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1366903189
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME157637 Issued in FL
Practice address
4551 Pleasant Hill Rd
Kissimmee, FL 34759-3422
Phone
(407) 847-2212
Fax
(407) 390-6483
NPI assigned
Mar 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X WA
Family Medicine Physician 207Q00000X ME157637 FL Primary

Addresses

Primary practice location

4551 Pleasant Hill Rd
Kissimmee, FL 34759-3422

Mailing address

4551 Pleasant Hill Rd
Kissimmee, FL 34759-3422
Phone (407) 847-2212

Other names 1

  • Loira Enid Gonzalez Hernandez Other name

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
I20221014003052 FL Practitioner - Family Practice 6103292164 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health System-Sunbelt IncGroup PAC ID 0749232445, shared by 8 NPIs, 100 clinicians

Practice addresses (Care Compare)

1210 US Hwy 27 N
Lake Placid, FL 33852-7948
Phone (863) 465-3777

6325 US Hwy 27 N
Sebring, FL 33870-8226
Phone (863) 471-3926

Hospital & facility affiliations

  • Adventhealth Sebring Hospital, Sebring, FL, CCN 100109

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Primary Care Network Inc Family Medicine CurrentSince Nov 1, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Oct 24, 2022 Accepting new patients
Adventist Health System-Sunbelt Inc Family Medicine CurrentSince Dec 19, 2024 Accepting new patients
Florida Hospital Medical Group Inc Family Medicine CurrentSince Oct 24, 2022 Accepting new patients
Adventist Health System-Sunbelt Inc Family Medicine CurrentSince Dec 19, 2024 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Dec 19, 2024 Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

4551 Pleasant Hill Rd
Poinciana, FL 34759
Phone (407) 847-2212

6325 US 27 N
Ste 201
Sebring, FL 33870
Phone (863) 382-9600

522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975

Interoperability endpoints

  • Direct secure messaging: lgonzalezhernandez450440@direct.multicare.org
  • Direct secure messaging: lgonzalez316321@adventhealth.direct-ci.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1366903189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4551 PLEASANT HILL RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593422",
            "telephone_number": "407-847-2212",
            "fax_number": "407-390-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4551 PLEASANT HILL RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593422",
            "telephone_number": "407-847-2212",
            "fax_number": "407-390-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LOIRA",
        "middle_name": "ENID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME157637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOIRA",
            "last_name": "GONZALEZ HERNANDEZ",
            "middle_name": "ENID",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.