NPIMap

Organization Active NPI

Humanitary Medical Center, Inc.

  • General Practice Physician
  • Tampa, FL
National Provider Identifier
1629612668
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HUMANITARY MEDICAL CENTER, INC.
Practice address
6607 N Dale Mabry Hwy
Tampa, FL 33614-3985
Phone
(813) 499-1500
Fax
(813) 499-1499
NPI assigned
Nov 2, 2019
Last updated
Aug 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Mr. Eliecer Gonzalez, MD
Title
Owner
Phone
(813) 499-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

6607 N Dale Mabry Hwy
Tampa, FL 33614-3985

Mailing address

4200 W Cypress St Ste 690
Tampa, FL 33607-4112
Phone (813) 468-1866

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Humanitarymc.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200410000262 FL Part B Supplier - Clinic/Group Practice 3173952298 Receives reassigned benefits from 8 practitioners
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

1421 US Highway 98
Lakeland, FL 33801
Phone (813) 419-1500

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1572652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1629612668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W CYPRESS ST STE 690",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336074112",
            "telephone_number": "813-468-1866",
            "fax_number": "813-499-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6607 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143985",
            "telephone_number": "813-499-1500",
            "fax_number": "813-499-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANITARY MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-02",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ELIECER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-499-1500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Humanitarymc.com",
            "affiliation": "N",
            "endpointDescription": "Medical center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6607 N Dale Mabry Hwy",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336143985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.