Homestead Cancer Institute LLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

ME121889 Issued in FL

Legal business name

HOMESTEAD CANCER INSTITUTE LLC

Practice address

925 NE 30TH Ter
Suite 300
Homestead, FL 33033-7613

Phone

(787) 632-2169

Fax

(786) 254-7260

NPI assigned

Dec 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Samuel A Gonzalez, MD

Title

President

Phone

(787) 632-2169

Specialties & licenses 1

Addresses

Networks

• HealthSun Health Plans Network

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1437557006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 S DIXIE HWY",
            "address_2": "STE 161",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462918",
            "telephone_number": "787-632-2169",
            "fax_number": "786-254-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 NE 30TH TER",
            "address_2": "SUITE 300",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337613",
            "telephone_number": "787-632-2169",
            "fax_number": "786-254-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD CANCER INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-632-2169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME121889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Homestead Behavior Health Inc
• Homestead Behavior Health Plus LLC
• Homestead Behavior Health Plus LLC
• Homestead Behavioral Clinic, Inc.
• Homestead Behavioral Clinic, Inc.
• Homestead Cardiac and Vein Center, Inc.
• Homestead Cares Foundation
• Homestead Chiropractic Clinic Inc
• Homestead Community Health Center, Inc.
• Homestead Community Pharmacy LLC

• Hematology & Oncology Physician in Homestead, FL
• Providers in Homestead, FL by specialty
• Hematology & Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.