Individual provider Active NPI

Dulce Gonzalez

  • Mechanotherapist
  • Miami, FL
National Provider Identifier
1396022711
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MA65510 Issued in FL
Practice address
215 SW 17TH Ave Ste 210
Miami, FL 33135-3674
Phone
(305) 631-2047
Fax
(305) 631-2361
NPI assigned
Nov 14, 2011
Last updated
Nov 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA65510 FL Primary

Addresses

Primary practice location

215 SW 17TH Ave Ste 210
Miami, FL 33135-3674

Mailing address

215 SW 17TH Ave Ste 210
Miami, FL 33135-3674
Phone (305) 631-2047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA65510FLMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1396022711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SW 17TH AVE STE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353674",
            "telephone_number": "305-631-2047",
            "fax_number": "305-631-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SW 17TH AVE STE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353674",
            "telephone_number": "305-631-2047",
            "fax_number": "305-631-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "DULCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "FL",
            "license": "MA65510",
            "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 Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.