Organization Active NPI

Jorge a Gonzalez DO PA

  • Family Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1578709382
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS0004764 Issued in FL
Legal business name
JORGE A GONZALEZ DO PA
Practice address
4308 Alton Rd Ste 980
Miami Beach, FL 33140-4560
Phone
(305) 672-9333
Fax
(305) 672-9307
NPI assigned
Dec 29, 2008
Last updated
Feb 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Authorized official

Name
Alexander Gonzalez
Title
Office Manager
Phone
(305) 672-9333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS0004764 FL Primary

Addresses

Primary practice location

4308 Alton Rd Ste 980
Miami Beach, FL 33140-4560

Mailing address

4308 Alton Rd Ste 980
Miami Beach, FL 33140-4560
Phone (305) 672-9333

Other practice location 1

9425 Sunset Dr Ste 136
Miami, FL 33173-3290
Phone (786) 632-5340

Other identifiers 1

IdentifierTypeStateIssuer
036329400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090318000187 FL Part B Supplier - Clinic/Group Practice 7810054988 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL; Miami Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0951926Jorge a Gonzalez DO PA4308 Alton Rd Ste 980, Miami Beach, FL 33140Certificate of waiverMay 13, 2027
10D2164350Jorge a Gonzalez, DO PA9425 Sunset Dr Ste 136, Miami, FL 33173Certificate of waiverMay 27, 2027

National Provider Directory

National Provider Directory

Locations

4302 Alton Rd
Ste 1020
Miami Beach, FL 33140
Phone (305) 531-3900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1578709382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD STE 980",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404560",
            "telephone_number": "305-672-9333",
            "fax_number": "305-672-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD STE 980",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404560",
            "telephone_number": "305-672-9333",
            "fax_number": "305-672-9307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9425 Sunset Dr Ste 136",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331733290",
            "country_code": "US",
            "telephone_number": "786-632-5340",
            "fax_number": "786-632-5349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JORGE A GONZALEZ DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-672-9333"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0004764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036329400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.