Active NPI
Carlos M. Gonzalez D.C.P.a.
- Physical Therapy Clinic/Center
- Homestead, FL
National Provider Identifier
1447534763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- CH6724
- Legal business name
- CARLOS M. GONZALEZ D.C.P.A.
- Practice address
- 15260 SW 280TH St
Suite #105
Homestead, FL 33032-8185 - Phone
- (305) 242-5334
- NPI assigned
- Oct 5, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carlos M Gonzalez, D.C.
- Title
- President
- Phone
- (305) 342-8693
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | CH6724 | FL | Primary |
Addresses
Primary practice location
15260 SW 280TH St
Suite #105
Homestead, FL 33032-8185
Mailing address
1237 SW 117TH CT
Miami, FL 33184-2532
Phone (305) 342-8693
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317772800000",
"number": "1447534763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1237 SW 117TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331842532",
"telephone_number": "305-342-8693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15260 SW 280TH ST",
"address_2": "SUITE #105",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330328185",
"telephone_number": "305-242-5334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARLOS M. GONZALEZ D.C.P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-05",
"last_updated": "2011-10-05",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "CARLOS",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-342-8693",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "CH6724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.