Individual provider Active NPI

Manuel Alejandro Gonzalez, MD, MPH, MBA

  • Interventional Cardiology Physician
  • Miami, FL
National Provider Identifier
1639182371
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME110782 Issued in FL
Practice address
815 NW 57TH Ave
Suite 130
Miami, FL 33126-2018
Phone
(941) 255-8184
Fax
(941) 255-8190
NPI assigned
Aug 14, 2006
Last updated
Jun 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD037851 DC
Interventional Cardiology Physician 207RI0011X ME110782 FL Primary

Addresses

Primary practice location

815 NW 57TH Ave
Suite 130
Miami, FL 33126-2018

Mailing address

815 NW 57TH Ave Ste 130
Miami, FL 33126-2041
Phone (305) 266-2286

Other identifiers 1

IdentifierTypeStateIssuer
003984800MedicaidFL

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
I20111011000230 FL Practitioner - Peripheral Vascular DiseasePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6305821059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Peripheral Vascular DiseaseAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wound Care and Limb Salvage Group of Miami PAGroup PAC ID 4981943891, 3 clinicians

Practice addresses (Care Compare)

815 NW 57 Ave
Suite 130
Miami, FL 33126-2041
Phone (305) 266-2286

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal102
Leg revascularization (restoring blood flow)219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD037851DCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care and Limb Salvage Group of Miami PA CurrentSince Jan 1, 2019 Accepting new patients
Stronghealth Network PLLC Interventional Cardiology CurrentSince Jan 9, 2012 Accepting new patients
Quality Imaging Inc CurrentSince Feb 1, 2025 Accepting new patients

Locations

815 NW 57th Ave
Ste 130
Miami, FL 33126
Phone (305) 266-2286

1219 S East Ave
Ste 103
Sarasota, FL 34239
Phone (941) 225-8184

Organizations & group practices 4

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1639182371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 NW 57TH AVE STE 130",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262041",
            "telephone_number": "305-266-2286",
            "fax_number": "305-266-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 NW 57TH AVE",
            "address_2": "SUITE 130",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262018",
            "telephone_number": "941-255-8184",
            "fax_number": "941-255-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MANUEL",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "credential": "MD, MPH, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DC",
            "license": "MD037851",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME110782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003984800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.