Individual provider Active NPI

Jose Antonio Espalter Gonzalez

  • Social Worker
  • Doral, FL
National Provider Identifier
1457977399
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
4090 NW 97TH Ave Ste 300
Doral, FL 33178-2380
Phone
(786) 523-5704
NPI assigned
Jun 16, 2020
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

4090 NW 97TH Ave Ste 300
Doral, FL 33178-2380

Mailing address

4090 NW 97TH Ave Ste 300
Doral, FL 33178-2380
Phone (786) 523-5704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Antares Mental Health Group LLC CurrentSince Mar 24, 2025 Accepting new patients
Antares Mental Health Group LLC CurrentSince Mar 24, 2025 Accepting new patients
Ambar Community Group LLC Current Accepting new patients

Locations

4090 NW 97th Ave
Ste 300
Doral, FL 33178
Phone (786) 332-4705

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1457977399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4090 NW 97TH AVE STE 300",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782380",
            "telephone_number": "786-523-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4090 NW 97TH AVE STE 300",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782380",
            "telephone_number": "786-523-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPALTER GONZALEZ",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-16",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.