Organization Active NPI

Susana Gonzalez, M.D., P.a.

  • Geriatric Medicine (Internal Medicine) Physician
  • Miami Beach, FL
National Provider Identifier
1396151809
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME0052209 Issued in FL
Legal business name
SUSANA GONZALEZ, M.D., P.A.
Practice address
1225 Alton Road
Miami Beach, FL 33139
Phone
(305) 532-8355
Fax
(305) 532-9675
NPI assigned
Jul 3, 2014
Last updated
May 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Authorized official

Name
Mrs. Esther Encinosa
Title
Director
Phone
(305) 532-8355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME0052209 FL Primary

Addresses

Primary practice location

1225 Alton Road
Miami Beach, FL 33139

Mailing address

1225 Alton Road
Miami Beach, FL 33139
Phone (305) 532-8355

Other identifiers 1

IdentifierTypeStateIssuer
048427000MedicaidFL

National Provider Directory

National Provider Directory

Locations

4308 Alton Rd
Ste 620
Miami Beach, FL 33140
Phone (305) 672-7560

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1396151809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 ALTON ROAD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33139",
            "telephone_number": "305-532-8355",
            "fax_number": "305-532-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 ALTON ROAD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33139",
            "telephone_number": "305-532-8355",
            "fax_number": "305-532-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSANA GONZALEZ, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "ENCINOSA",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-532-8355",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME0052209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048427000",
            "state": "FL"
        }
    ],
    "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 May 3, 2016; 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.