Active NPI
Nelson L Gonzalez DPM PA
- Foot & Ankle Surgery Podiatrist
- Cape Coral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO3291
- Legal business name
- NELSON L GONZALEZ DPM PA
- Practice address
- 2500 Del Prado Blvd S
Cape Coral, FL 33904-5750 - Phone
- (239) 541-1095
- Fax
- (239) 542-1095
- NPI assigned
- Nov 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nelson L Gonzalez, DPM
- Title
- President
- Phone
- (239) 541-1095
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO3291 | FL | Primary |
Addresses
Primary practice location
2500 Del Prado Blvd S
Cape Coral, FL 33904-5750
Mailing address
16200 NW 84TH CT
Miami Lakes, FL 33016-6672
Phone (786) 543-3464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
5331 SW 8th St
Coral Gables, FL 33134
Phone (305) 615-4435
158 W 10th St
#C
Hialeah, FL 33010
Phone (305) 644-1797
764 SW 18th Ave
Miami, FL 33135
Phone (305) 608-0612
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Coral Gables, FL
- NPI 1669652566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581897600000",
"number": "1407157324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16200 NW 84TH CT",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330166672",
"telephone_number": "786-543-3464",
"fax_number": "786-558-9845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 DEL PRADO BLVD S",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339045750",
"telephone_number": "239-541-1095",
"fax_number": "239-542-1095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NELSON L GONZALEZ DPM PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-09",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "NELSON",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "239-541-1095",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO3291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.