Individual provider Active NPI

Jose Noel Gonzalez, M.D.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1679536189
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0055652 Issued in FL
Practice address
5040 NW 7TH St Ste 530
Miami, FL 33126-3432
Phone
(305) 995-0141
Fax
(305) 995-0144
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 55652 FL
Family Medicine Physician 207Q00000X ME0055652 FL Primary

Addresses

Primary practice location

5040 NW 7TH St Ste 530
Miami, FL 33126-3432

Mailing address

5040 NW 7TH St Ste 530
Miami, FL 33126-3432
Phone (305) 995-0140

Other identifiers 1

IdentifierTypeStateIssuer
254267600MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeicico@newresearch.institute Direct New Health Institute of South Florida LLC

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
I20081125000537 FL Practitioner - Family PracticePractitioner - General Practice 0244390995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Sagrada Familia Medical Center IncGroup PAC ID 8224428826, 14 clinicians
Miami Dade Medical and Rehabilitation Center Corp.Group PAC ID 3476945007, 8 clinicians

Practice addresses (Care Compare)

7270 NW 12TH St
Suite 430
Miami, FL 33126-1941
Phone (786) 615-2843

760 NW 107TH Ave
Suite 406
Miami, FL 33172-3162
Phone (786) 334-6928

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55652FLMDFamily Medicine Physician
ME0055652FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Health Institute of South Florida LLC Multi-Specialty Current Accepting new patients
Neuromuscular Physical Therapy, Inc Multi-Specialty CurrentSince Apr 15, 2024 Accepting new patients
Miami Dade Medical and Rehabilitation Center Corp Multi-Specialty CurrentSince Sep 23, 2024 Accepting new patients
Novo Medical Group LLC Multi-Specialty CurrentSince Apr 15, 2024 Accepting new patients
Conviva Medical Center Management LLC Multi-Specialty CurrentSince Jan 1, 2021 Accepting new patients
Ultra Medical Center, Corp Multi-Specialty Past Accepting new patients

Locations

440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000

975 W 49th St
Hialeah, FL 33012
Phone (305) 512-9381

7270 NW 12th St
Ste 320
Miami, FL 33126
Phone (786) 850-3304

6101 Blue Lagoon Dr
Ste 400
Miami, FL 33126
Phone (305) 500-2114

7270 NW 12th St
Ste 130
Miami, FL 33126
Phone (786) 536-7009

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

7270 NW 12th St
Ste 130A
Miami, FL 33126
Phone (305) 456-6997

1200 SW 1st St
Miami, FL 33135
Phone (305) 324-2000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1679536189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 NW 7TH ST STE 530",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263432",
            "telephone_number": "305-995-0140",
            "fax_number": "305-995-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 NW 7TH ST STE 530",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263432",
            "telephone_number": "305-995-0141",
            "fax_number": "305-995-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JOSE",
        "middle_name": "NOEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "55652",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0055652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254267600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeicico@newresearch.institute",
            "affiliation": "Y",
            "endpointDescription": "jeicico@gmail.com",
            "affiliationName": "New Health Institute of South Florida LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5040 NW 7th St Ste 530",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331263432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.