Individual provider Active NPI

Mercy Mary Gonzalez, MD

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1487775714
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME 77453 Issued in FL
Practice address
1321 NW 13TH St
Miami, FL 33125-1603
Phone
(786) 263-4131
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME 77453 FL Primary

Addresses

Primary practice location

1321 NW 13TH St
Miami, FL 33125-1603

Mailing address

1321 NW 13TH St
Miami, FL 33125-1603
Phone (786) 263-4131

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110401000756 FL Practitioner - PsychiatryPractitioner - Neuropsychiatry 3779767595 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neuropsychiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Public Health Trust of Miami Dade County FloridaGroup PAC ID 8628981925, shared by 12 NPIs, 56 clinicians

Practice addresses (Care Compare)

15055 NW 27 Ave
Opa Locka, FL 33054-3365
Phone (786) 466-2800

1695 Nw9Th Ave
Miami, FL 33136-1409
Phone (305) 355-8234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 77453FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Trust of Miami Dade County Florida Current Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Apr 23, 2017 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Apr 2, 2019 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Apr 23, 2017 Accepting new patients
Bayview Center for Mental Health Inc PastSince Aug 21, 2012 Accepting new patients

Locations

1695 NW 9th Ave
Miami, FL 33136
Phone (305) 355-7147

15055 NW 27th Ave
Opa Locka, FL 33054
Phone (786) 466-2701

20201 NW 37th Ave
Opa Locka, FL 33056
Phone (786) 466-2700

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1487775714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 NW 13TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251603",
            "telephone_number": "786-263-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 NW 13TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251603",
            "telephone_number": "786-263-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MERCY",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 77453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.