Individual provider Active NPI

Alexandro Sagor Gonzalez, MD

  • General Practice Physician
  • North Miami, FL
National Provider Identifier
1548834120
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1454 Issued in FL
Practice address
20215 NW 2ND Ave, Ste 1
North Miami, FL 33169
Phone
(305) 685-5688
NPI assigned
May 18, 2021
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X PR
General Practice Physician 208D00000X 22792 PR
General Practice Physician 208D00000X ACN1454 FL Primary

Addresses

Primary practice location

20215 NW 2ND Ave, Ste 1
North Miami, FL 33169

Mailing address

20215 NW 2ND Ave, Ste 1
North Miami, FL 33169
Phone (305) 685-5688

Other practice location 1

715 Ave Ponce De Leon # 37.5
Hato Rey, PR 00917-5032
Phone (787) 758-2000 ext. 3216

Other practice location 2

110 Century Blvd # 200
West Palm Beach, FL 33417-2262
Phone (855) 226-6633

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
I20220719003994 FL Practitioner - General PracticePractitioner - Family Practice 4587045794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guidewell Sanitas I, LLCGroup PAC ID 9537447107, 124 clinicians

Practice addresses (Care Compare)

180 SW 84TH Ave
Plantation, FL 33324-2731
Phone (844) 665-4827

2441 SW 27TH Ave
Ocala, FL 34471-0807
Phone (844) 665-4827

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22792PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guidewell Sanitas I, LLC CurrentSince May 10, 2025 Accepting new patients
Island Doctors Intrastate LLC Past Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

11115 SW 93rd Court Rd
Unit 600
Ocala, FL 34481
Phone (352) 270-2944

180 SW 84th Ave
Plantation, FL 33324
Phone (954) 271-2855

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.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1548834120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20215 NW 2ND AVE, STE 1",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "33169",
            "telephone_number": "305-685-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20215 NW 2ND AVE, STE 1",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "33169",
            "telephone_number": "305-685-5688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 Ave Ponce De Leon # 37.5",
            "address_purpose": "LOCATION",
            "city": "Hato Rey",
            "state": "PR",
            "postal_code": "009175032",
            "country_code": "US",
            "telephone_number": "787-758-2000 x3216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Century Blvd # 200",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334172262",
            "country_code": "US",
            "telephone_number": "855-226-6633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ALEXANDRO",
        "middle_name": "SAGOR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-18",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22792",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.