Individual provider Active NPI

Alejandro Ramon Gonzalez Ballagas, DPM

  • Foot & Ankle Surgery Podiatrist
  • Coconut Creek, FL
National Provider Identifier
1417180159
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3777 Issued in FL
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170406002614 FL Practitioner - Podiatry 0042596926 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Certified Foot and Ankle SpecialistsGroup PAC ID 7214080282, 12 clinicians

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

LicenseStateTypeSpecialty
3777FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Yeli Therapy Center Inc CurrentSince Sep 21, 2025 Accepting new patients
Lake Medical Group, LLC CurrentSince Dec 29, 2025 Accepting new patients
Clinica Las Mercedes, LLC Current Accepting new patients
Clinica Las Mercedes, LLC CurrentSince Mar 31, 2025 Accepting new patients
Clinica Las Mercedes, LLC CurrentSince Mar 31, 2025 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.

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

Verify at the official NPI Registry.