Organization Active NPI

Efrain H Gonzalez MD PA

  • Cardiovascular Disease Physician
  • Miami, FL
National Provider Identifier
1376505982
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME 57627 Issued in FL
Legal business name
EFRAIN H GONZALEZ MD PA
Practice address
11020 SW 88TH St Ste 102C
Miami, FL 33176
Phone
(305) 596-3649
Fax
(305) 596-0878
NPI assigned
Apr 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Authorized official

Name
Efrain H Gonzalez, M.D.NPI 1184687329
Title
Owner
Phone
(786) 703-6120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME 57627 FL Primary

Addresses

Primary practice location

11020 SW 88TH St Ste 102C
Miami, FL 33176

Mailing address

11020 SW 88TH St Ste 102C
Miami, FL 33176-1217
Phone (305) 596-3649

Other practice location 1

8950 N Kendall Dr
Suite 307
Miami, FL 33176-2144
Phone (305) 596-3649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050411001139 FL Part B Supplier - Clinic/Group Practice 6901843051 Receives reassigned benefits from 1 practitioner
Practice locations: Doral, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

8950 N Kendall Dr
Ste 307
Miami, FL 33176
Phone (305) 255-0777

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1376505982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 SW 88TH ST STE 102C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761217",
            "telephone_number": "305-596-3649",
            "fax_number": "305-596-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 SW 88TH ST STE 102C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33176",
            "telephone_number": "305-596-3649",
            "fax_number": "305-596-0878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8950 N Kendall Dr",
            "address_2": "Suite 307",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762144",
            "country_code": "US",
            "telephone_number": "305-596-3649",
            "fax_number": "305-596-0878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EFRAIN H GONZALEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "EFRAIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-703-6120",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 57627",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 12, 2018; 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.