Jorge Antonio Gonzalez Jr., M.D.

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

License

ME128315 Issued in FL

Practice address

3333 W Commercial Blvd Ste 101
Fort Lauderdale, FL 33309-3424

Phone

(954) 751-6990

Fax

(954) 751-6991

NPI assigned

Mar 20, 2013

Last updated

Mar 17, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Internal MedicineAlso: Sports Medicine

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians

VMFL Medical Centers LLCGroup PAC ID 6103299326, 13 clinicians

Ortho Florida LLCGroup PAC ID 3274616453, 121 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Broward Health Imperial Point Hospital, Fort Lauderdale, FL, CCN 100200
• Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• HealthSun Health Plans Network

Interoperability endpoints

• Direct secure messaging: jorge.gonzalez.p1@direct.vivamasmedical.nextgenshare.com

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.

• VMFL Medical Centers LLC

  dba VivaMas Medical Center - Pembroke Pines

  • Internal Medicine Physician
  • Pembroke Pines, FL
  • NPI 1871203356
  Medicare reassignment Care Compare group NPD
• Institute of Regenerative Orthopedics and Sports Medicine LLC

  • Sports Medicine (Internal Medicine) Physician
  • Fort Lauderdale, FL
  • NPI 1194303487
  Medicare reassignment Authorized official
• Ortho Florida, LLC

  • Specialist
  • Boca Raton, FL
  • NPI 1821113192
  Medicare reassignment Care Compare group
• Institute of Regenerative Orthopedics & Spinal Medicine

  • Interventional Pain Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1629952734
  NPD Authorized official
• Institute of Regenerative Orthopedics and Sports Medicine LLC

  • Interventional Pain Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1972475028
  NPD Authorized official
• VMFL Medical Centers LLC

  dba VivaMas Medical Center Hialeah

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1063122547
  NPD
• VMFL Medical Centers LLC

  dba VivaMas Medical Center Homestead

  • Internal Medicine Physician
  • Homestead, FL
  • NPI 1215772413
  NPD
• Foot Ankle & Leg Specialists of South Florida Inc

  • Foot & Ankle Surgery Podiatrist
  • Weston, FL
  • NPI 1043269947
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holy Cross Hospital Inc

  dba Holy Cross Medical Group

  • Internal Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1467401877

  Hospital

  Care Compare affiliation
• Holy Cross Hospital Inc

  dba Holy Cross Hospital

  • General Acute Care Hospital
  • Fort Lauderdale, FL
  • NPI 1639197395
  Care Compare affiliation
• Holy Cross Hospital, Inc.

  • Urgent Care Clinic/Center
  • Boca Raton, FL
  • NPI 1376953125

  Hospital

  Care Compare affiliation
• Holy Cross Hospital, Inc.

  • Urgent Care Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1386985190

  Hospital

  Care Compare affiliation
• North Broward Hospital District

  dba Broward Health Imperial Point

  • General Acute Care Hospital
  • Fort Lauderdale, FL
  • NPI 1265460232
  Care Compare affiliation

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1427390137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 W COMMERCIAL BLVD STE 101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093424",
            "telephone_number": "954-751-6990",
            "fax_number": "954-751-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W COMMERCIAL BLVD STE 101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093424",
            "telephone_number": "954-751-6990",
            "fax_number": "954-751-6991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17842 NW 2nd St",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330292806",
            "country_code": "US",
            "telephone_number": "954-430-9901",
            "fax_number": "954-430-0608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JORGE",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-20",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME128315",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME128315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017619600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iris Rosello Gonzalez, MD
• Isabel C Gonzalez, CST/CSFA
• Jacqueline Gonzalez, BCBA
• Jany Gonzalez, APRN
• Johnny Gonzalez, DMD
• Jose R. Gonzalez, MSW, LCSW
• Jose Raphael Gonzalez, PSY.D.
• Katelyn Gonzalez
• Melisa Gonzalez
• Miguel Angel Gonzalez, M.D.

• Sports Medicine (Internal Medicine) Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Sports Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.

Verify at the official NPI Registry.