Active NPI
Robert T Gonzalez, MD,Faap,PA
- Pediatrics Physician
- Pembroke Pines, FL
National Provider Identifier
1598866683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME53651
- Legal business name
- ROBERT T GONZALEZ, MD,FAAP,PA
- Practice address
- 2301 N University Dr
Suite 202
Pembroke Pines, FL 33024-3617 - Phone
- (954) 433-1825
- Fax
- (954) 433-1827
- NPI assigned
- Sep 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mayra Gonzalez
- Title
- Office Manager
- Phone
- (954) 433-1825
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME53651 | FL | Primary |
Addresses
Primary practice location
2301 N University Dr
Suite 202
Pembroke Pines, FL 33024-3617
Mailing address
2301 N University Dr
Suite 202
Pembroke Pines, FL 33024-3617
Phone (954) 433-1825
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1018359 | Robert T Gonzalez MD Faap PA | Certificate of waiver | Oct 20, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490572800000",
"number": "1598866683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 N UNIVERSITY DR",
"address_2": "SUITE 202",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330243617",
"telephone_number": "954-433-1825",
"fax_number": "954-433-1827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 N UNIVERSITY DR",
"address_2": "SUITE 202",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330243617",
"telephone_number": "954-433-1825",
"fax_number": "954-433-1827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT T GONZALEZ, MD,FAAP,PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2017-03-27",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "MAYRA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "954-433-1825",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "ME53651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.