Active NPI
Alejandro Ramon Gonzalez Ballagas, DPM
- Foot & Ankle Surgery Podiatrist
- Coconut Creek, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO3777
- Practice address
- 4879 Coconut Creek Pkwy
Coconut Creek, FL 33063-3944 - Phone
- (954) 979-0505
- Fax
- (954) 979-4298
- NPI assigned
- Aug 28, 2009
- Last updated
- Jul 28, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 3777 | FL | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO3777 | FL | Primary |
Addresses
Primary practice location
4879 Coconut Creek Pkwy
Coconut Creek, FL 33063-3944
Mailing address
14332 NW 87TH CT
Miami Lakes, FL 33018-8044
Phone (786) 630-0330
Other practice location 1
160 NW 170th St
North Miami Beach, FL 33169-5521
Phone (305) 651-1100
Other practice location 2
817 Coral Ridge Dr
Coral Springs, FL 33071-4180
Phone (954) 753-3030
Other practice location 3
3410 W 84th St Ste 100
Hialeah, FL 33018-4906
Phone (305) 826-7774
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4879 Coconut Creek Pkwy
Coconut Creek, FL 33063-3944
Phone (954) 979-0505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3777 | FL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yeli Therapy Center Inc | Current | Accepting new patients | |
| Lake Medical Group, LLC | Current | Accepting new patients | |
| Clinica Las Mercedes, LLC | Current | Accepting new patients | |
| Clinica Las Mercedes, LLC | Current | Accepting new patients | |
| Clinica Las Mercedes, LLC | Current | Accepting new patients | |
| Rosita Community Medical Center Inc | Past | Accepting new patients |
Locations
1435 SW 27th Ave
Miami, FL 33145
Phone (305) 642-4380
1479 NW 27th Ave
Miami, FL 33125
Phone (305) 633-3776
6355 NW 36th St
Ste 1100
Virginia Gardens, FL 33166
Organizations & group practices 8
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.
-
dba Las Mercedes Medical Centers
- Geriatric Medicine (Internal Medicine) Physician
- Miami, FL
- NPI 1326090960
-
- Multi-Specialty Clinic/Center
- Miami Lakes, FL
- NPI 1215767496
-
- Family Medicine Physician
- Miami, FL
- NPI 1063250694
-
- Foot & Ankle Surgery Podiatrist
- Miami Lakes, FL
- NPI 1578200564
-
dba Multi Specialty Physician Services
- Non-Pharmacy Dispensing Site
- Boca Raton, FL
- NPI 1699904169
-
dba Las Mercedes Medical Centers
- Geriatric Medicine (Internal Medicine) Physician
- Miami, FL
- NPI 1467930941
-
dba Las Mercedes Medical Centers
- Multi-Specialty Clinic/Center
- Tamarac, FL
- NPI 1518673565
-
- Community/Behavioral Health Agency
- Miami, FL
- NPI 1306422407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1417180159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14332 NW 87TH CT",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330188044",
"telephone_number": "786-630-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4879 COCONUT CREEK PKWY",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330633944",
"telephone_number": "954-979-0505",
"fax_number": "954-979-4298"
}
],
"practiceLocations": [
{
"address_1": "160 NW 170th St",
"address_purpose": "LOCATION",
"city": "North Miami Beach",
"state": "FL",
"postal_code": "331695521",
"country_code": "US",
"telephone_number": "305-651-1100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "817 Coral Ridge Dr",
"address_purpose": "LOCATION",
"city": "Coral Springs",
"state": "FL",
"postal_code": "330714180",
"country_code": "US",
"telephone_number": "954-753-3030",
"fax_number": "954-666-0410",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3410 W 84th St Ste 100",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330184906",
"country_code": "US",
"telephone_number": "305-826-7774",
"fax_number": "305-826-5505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ BALLAGAS",
"first_name": "ALEJANDRO",
"middle_name": "RAMON",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-28",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "3777",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO3777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coconut Creek, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.