Individual provider Active NPI

Carlos Pedro Gonzalez-Suarez, M.D.

  • Psychiatry Physician
  • Coral Gables, FL
National Provider Identifier
1487778908
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0038717 Issued in FL
Practice address
1500 San Remo Ave
Suite 205
Coral Gables, FL 33146-3043
Phone
(305) 669-6800
Fax
(305) 669-0737
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0038717 FL Primary

Addresses

Primary practice location

1500 San Remo Ave
Suite 205
Coral Gables, FL 33146-3043

Mailing address

1500 San Remo Ave
Suite 205
Coral Gables, FL 33146-3043
Phone (305) 669-6800

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
I20130130000127 FL Practitioner - Psychiatry 6305090283 Practice locations: Coral Gables, FL

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Northwestern University Feinberg Medical School, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5915 Ponce de Leon Blvd
Suite 16
Coral Gables, FL 33146-2435
Phone (305) 669-6800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0038717FLMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487778908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SAN REMO AVE",
            "address_2": "SUITE 205",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463043",
            "telephone_number": "305-669-6800",
            "fax_number": "305-669-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SAN REMO AVE",
            "address_2": "SUITE 205",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463043",
            "telephone_number": "305-669-6800",
            "fax_number": "305-669-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-SUAREZ",
        "first_name": "CARLOS",
        "middle_name": "PEDRO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "0038717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.