Marisela Gonzalez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME59833 Issued in FL

Practice address

7171 Coral Way Suite 201
Miami, FL 33155

Phone

(305) 220-3700

Fax

(305) 220-9002

NPI assigned

Jun 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Marisela Gonzalez M.D.P.a.

  • General Practice Physician
  • Miami, FL
  • NPI 1275836330
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1679500037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 CORAL WAY SUITE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33155",
            "telephone_number": "305-220-3700",
            "fax_number": "305-220-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 CORAL WAY SUITE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33155",
            "telephone_number": "305-220-3700",
            "fax_number": "305-220-9002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2780 SW 87th Ave",
            "address_2": "#100",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331653296",
            "country_code": "US",
            "telephone_number": "305-220-3700 x3",
            "fax_number": "305-220-9002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7171 Coral Way Ste 104",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33155",
            "country_code": "US",
            "telephone_number": "305-220-3700",
            "fax_number": "305-220-9002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MARISELA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME59833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053060301",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maribel Gonzalez
• Mariela A Gonzalez
• Marien Gonzalez
• Marilia Gonzalez
• Marisa Cristina Gonzalez
• Marisol Gonzalez, ARNP
• Marisol Gonzalez
• Marisol Gonzalez
• Maritza Gonzalez, MASSAGE THERAPIST
• Marlen Gonzalez

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.