Individual provider Active NPI

Riquel Gonzalez, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hialeah, FL
National Provider Identifier
1457693566
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3603 Issued in FL
Practice address
4999 W 8TH Ave Ste 22
Hialeah, FL 33012-3409
Phone
(786) 536-4542
Fax
(786) 536-4484
NPI assigned
Mar 27, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3603 FL Primary

Addresses

Primary practice location

4999 W 8TH Ave Ste 22
Hialeah, FL 33012-3409

Mailing address

4999 W 8TH Ave Ste 22
Hialeah, FL 33012-3409
Phone (786) 536-4542

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
I20130718000459 FL Practitioner - Podiatry 1658444146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4999 W 8TH Ave
Suite 22
Hialeah, FL 33012-3409
Phone (786) 536-4542

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue28
Removal of skin lesions1-10
Removal of nail tissue58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Riquel Gonzalez DPM PA Foot & Ankle Surgery CurrentSince Apr 24, 2013 Accepting new patients
Nieves Medical Center, LLC Current Accepting new patients

Locations

4999 W 8th Ave
Ste 22
Hialeah, FL 33012
Phone (305) 821-2333

1435 W 49th Pl
Ste 604
Hialeah, FL 33012
Phone (305) 403-2402

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1457693566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4999 W 8TH AVE STE 22",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123409",
            "telephone_number": "786-536-4542",
            "fax_number": "786-536-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4999 W 8TH AVE STE 22",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123409",
            "telephone_number": "786-536-4542",
            "fax_number": "786-536-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "RIQUEL",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.