Individual provider Active NPI

Eduardo Joaquin Gonzalez, MD

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1558305458
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0039568 Issued in FL
Practice address
8200 SW 117TH Ave
Suite # 114
Miami, FL 33183-3856
Phone
(305) 271-5001
Fax
(305) 271-6779
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0039568 FL Primary

Addresses

Primary practice location

8200 SW 117TH Ave
Suite # 114
Miami, FL 33183-3856

Mailing address

8200 SW 117TH Ave
Suite # 114
Miami, FL 33183-3856
Phone (305) 271-5001

Other identifiers 1

IdentifierTypeStateIssuer
374602000MedicaidFL

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
I20100804001080 FL Practitioner - Internal Medicine 2163555673 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0039568FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alma Medical Group, Inc CurrentSince May 6, 2022 Accepting new patients

Locations

3185 SW 8th St
Miami, FL 33135
Phone (305) 642-4044

8200 SW 117th Ave
Ste 114
Miami, FL 33183
Phone (305) 271-5001

1335 Alton Rd
Miami Beach, FL 33139
Phone (305) 532-8355

Interoperability endpoints

  • Direct secure messaging: ejgonzalez@ejgmdpa.gwaydirect.com

Organizations & group practices 1

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1558305458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 SW 117TH AVE",
            "address_2": "SUITE # 114",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331833856",
            "telephone_number": "305-271-5001",
            "fax_number": "305-271-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 SW 117TH AVE",
            "address_2": "SUITE # 114",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331833856",
            "telephone_number": "305-271-5001",
            "fax_number": "305-271-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "EDUARDO",
        "middle_name": "JOAQUIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0039568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374602000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.