Fernando Gonzalez Vergara, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME114208 Issued in FL

Practice address

8050 N University Dr Ste 101
Tamarac, FL 33321-2102

Phone

(954) 532-5160

Fax

(954) 998-7307

NPI assigned

Sep 30, 2010

Last updated

May 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• La Colonia Medical Center Inc

  • Health Service Clinic/Center
  • Hialeah, FL
  • NPI 1821123639
  Medicare reassignment NPD
• Fernando Gonzalez Vergara, M.D, P.a

  dba Innovative Health

  • Internal Medicine Physician
  • Tamarac, FL
  • NPI 1265882906
  Medicare reassignment
• La Colonia Medical Center Inc

  • Health Service Clinic/Center
  • Cutler Bay, FL
  • NPI 1851064653
  NPD
• Clinica Las Mercedes, LLC

  dba Las Mercedes Medical Centers

  • Geriatric Medicine (Internal Medicine) Physician
  • Plantation, FL
  • NPI 1144868589
  NPD (past)

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1518276146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 N UNIVERSITY DR STE 101",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212102",
            "telephone_number": "954-532-5160",
            "fax_number": "954-998-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 N UNIVERSITY DR STE 101",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212102",
            "telephone_number": "954-532-5160",
            "fax_number": "954-998-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ VERGARA",
        "first_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-30",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "28250",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME114208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE",
            "identifier": "ME114208",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Gold, PT
• Arthur Goldglantz, RPH.,CPH
• Leah Raquel Goldstein
• Christopher Gomez
• Ildefonso Gomez, M.D.
• Diana Gonzalez
• Gloria M Gonzalez, PHD, M.S., L.M.H.C.
• Richard Gonzalez
• Yanela Gonzalez, D.M.D.
• Good Shepherd Care Services LLC

• Internal Medicine Physician in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.