Active NPI
Ruben Gonzalez Jr., PTA
- Physical Therapy Assistant
- Miami, FL
National Provider Identifier
1538877295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA32432
- Practice address
- 12548 SW 8TH St
Miami, FL 33184-1412 - Phone
- (786) 453-3727
- Fax
- (786) 693-8265
- NPI assigned
- Nov 11, 2022
- Last updated
- May 31, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA32432 | FL | Primary |
Addresses
Primary practice location
12548 SW 8TH St
Miami, FL 33184-1412
Mailing address
12420 SW 188TH Ter
Miami, FL 33177-3148
Phone (305) 457-0444
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA32432 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prosper Medical Office Corp. | Physical Therapy Assistant | Current | Accepting new patients |
| Doctor's Medical Group, Inc | Current | Accepting new patients |
Locations
12548 SW 8th St
Miami, FL 33184
Phone (786) 453-3727
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Miami, FL
- NPI 1396585774
Physical Therapy Assistant
-
- Family Medicine Physician
- Miami, FL
- NPI 1710385232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1538877295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12420 SW 188TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331773148",
"telephone_number": "305-457-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12548 SW 8TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331841412",
"telephone_number": "786-453-3727",
"fax_number": "786-693-8265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "RUBEN",
"name_suffix": "Jr.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-11",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA32432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.