Individual provider Active NPI

Blanca N Gonzalez, M.D.

  • Family Medicine Physician
  • Hialeah, FL
National Provider Identifier
1598087280
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME106369 Issued in FL
Practice address
1435 W 49TH PL Ste 701
Hialeah, FL 33012-3158
Phone
(305) 351-2405
Fax
(305) 290-2037
NPI assigned
Feb 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME106369 FL Primary

Addresses

Primary practice location

1435 W 49TH PL Ste 701
Hialeah, FL 33012-3158

Mailing address

1435 W 49TH PL Ste 701
Hialeah, FL 33012-3158
Phone (305) 351-2405

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
I20100629000752 FL Practitioner - General Practice 7214068634 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME106369FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blanca Nelida Gonzalez MD PA CurrentSince Jul 25, 2012 Accepting new patients
First Docs PC CurrentSince Jun 26, 2024 Accepting new patients
QMC LLC PastSince Feb 1, 2021 Accepting new patients

Locations

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

1435 W 49th Pl
Ste 701
Hialeah, FL 33012
Phone (305) 351-2405

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

5190 NW 167th St
Ste 306
Miami Lakes, FL 33014
Phone (305) 627-5557

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

Interoperability endpoints

  • Direct secure messaging: wghbngonz@yourcarecommunity.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Docs PC 181 clinicians

Practice addresses (Care Compare)

1435 W 49TH PL
Hialeah, FL 33012-3158
Phone (305) 351-2405

2801 NW 79TH Ave
Doral, FL 33122-1174
Phone (786) 466-1000

651 E 25 St
Hialeah, FL 33013-3814
Phone (609) 585-1122

830 Lakeside Cir
Pompano Beach, FL 33060-7748
Phone (609) 585-1122

Hospital & facility affiliations

  • Today'S Home Health Services, Inc Home health agency, Homestead, FL, CCN 109343
  • Hialeah Hospital Hospital, Hialeah, FL, CCN 100053
  • Larkin Community Hospital Palm Springs Campus Hospital, Hialeah, FL, CCN 100050
  • Jackson Health System Hospital, Miami, FL, CCN 100022
  • Select Specialty Hospital-Miami Lakes Long-term care hospital, Miami Lakes, FL, CCN 102031

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1598087280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 W 49TH PL STE 701",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123158",
            "telephone_number": "305-351-2405",
            "fax_number": "305-290-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 W 49TH PL STE 701",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123158",
            "telephone_number": "305-351-2405",
            "fax_number": "305-290-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "BLANCA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME106369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.