Andre Josue Gonzalez, A.T.C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1819 Issued in TN

Practice address

11200 SW 8TH St
Miami, FL 33199-8859

Phone

(305) 348-3656

NPI assigned

Feb 24, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1417317199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331992516",
            "telephone_number": "305-348-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331998859",
            "telephone_number": "305-348-3656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6726 N Quail Hollow Rd Apt 2",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381208859",
            "country_code": "US",
            "telephone_number": "954-558-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ANDRE",
        "middle_name": "JOSUE",
        "credential": "A.T.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-24",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "1819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anabel Gonzalez, ARNP
• Anaily Gonzalez
• Anallensy Gonzalez, RBT
• Ancizar Gonzalez, PA
• Andre Gonzalez
• Andrea V Gonzalez, M.S.
• Andrew Gonzalez, CRNA
• Andrew Mauricio Gonzalez, ATC, LAT
• Andro M Gonzalez, CBHCM
• Angela Gonzalez, MD

• Athletic Trainer in Miami, FL
• Providers in Miami, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.