Active NPI
Tanya Marie Gonzalez, M.D.
- Obstetrics & Gynecology Physician
- Miami Beach, FL
National Provider Identifier
1376960435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 135525
- Practice address
- 4302 Alton Rd Ste 940
Miami Beach, FL 33140 - Phone
- (305) 674-2655
- NPI assigned
- Mar 26, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 135525 | FL | Primary |
Addresses
Primary practice location
4302 Alton Rd Ste 940
Miami Beach, FL 33140
Mailing address
4302 Alton Rd Ste 902
Miami, FL 33140-2899
Phone (305) 674-2655
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181009001126 | FL | Practitioner - Obstetrics/Gynecology | 7012269764 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135525 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Practices of MSMC, LLC | Current | Accepting new patients |
Locations
4302 Alton Rd
Ste 940
Miami Beach, FL 33140
Phone (305) 674-2055
4306 Alton Rd
Fl 2
Miami Beach, FL 33140
Phone (305) 535-3349
4302 Alton Rd
Ste 300
Miami Beach, FL 33140
Phone (305) 672-9989
Interoperability endpoints
- https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/
- tgonzalez60109@direct.msmc.com
Organizations & group practices 1
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": "1395792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1376960435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4302 ALTON RD STE 902",
"city": "MIAMI",
"state": "FL",
"postal_code": "331402899",
"telephone_number": "305-674-2655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4302 ALTON RD STE 940",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "33140",
"telephone_number": "305-674-2655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "TANYA",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-26",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "135525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.