Antonio Maria Gordon Jr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0028982 Issued in FL

Practice address

5351 SW 8TH St
Coral Gables, FL 33134-2269

Phone

(305) 901-1191

Fax

(786) 615-5635

NPI assigned

Jul 28, 2005

Reactivated

Dec 27, 2007

Last updated

Apr 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gordon Clinic-Antonio Gordon MD PA

  • Cardiovascular Disease Physician
  • Hialeah, FL
  • NPI 1023002300

  Internal Medicine

  NPD (past) Authorized official
• La Familia Mental Health Inc

  dba La Capital Medical Center

  • Family Medicine Physician
  • Coral Gables, FL
  • NPI 1316755044
  NPD
• La Familia Mental Health Inc

  dba La Capital Medical Center

  • Clinic/Center
  • Hialeah, FL
  • NPI 1356932586
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1396745782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 NW 27TH ST",
            "address_2": "STE 205",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221900",
            "telephone_number": "305-556-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5351 SW 8TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342269",
            "telephone_number": "305-901-1191",
            "fax_number": "786-615-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ANTONIO",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "deactivation_date": "2005-09-01",
        "reactivation_date": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "0028982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036786900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenny Goodrich, M.S., LMHC
• Arturo Gordiano
• Giuliana Gordillo
• Rosell Gordillo
• Gordon D. Sokoloff D.D.S.
• Sheldon Bradley Gordon
• Richard J. Gorniak, M.D.
• Reilly Goss
• Stephanie M Gosset, LMHC
• Vikas Goswamy, M.D.

• Internal Medicine Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.

Verify at the official NPI Registry.