Active NPI
Dinorah Gonzales
- Health Service Clinic/Center
- Hialeah Gardens, FL
National Provider Identifier
1679810766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- MA62302
- Practice address
- 8302 NW 103Rd St
Suite 202
Hialeah Gardens, FL 33016-4697 - Phone
- (305) 456-6803
- NPI assigned
- Jan 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | MA62302 | FL | Primary |
Addresses
Primary practice location
8302 NW 103Rd St
Suite 202
Hialeah Gardens, FL 33016-4697
Mailing address
8302 NW 103Rd St
Suite 202
Hialeah Gardens, FL 33016-4697
Phone (305) 456-6803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA62302 | FL | MD | Health Service Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357689600000",
"number": "1679810766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8302 NW 103RD ST",
"address_2": "SUITE 202",
"city": "HIALEAH GARDENS",
"state": "FL",
"postal_code": "330164697",
"telephone_number": "305-456-6803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8302 NW 103RD ST",
"address_2": "SUITE 202",
"city": "HIALEAH GARDENS",
"state": "FL",
"postal_code": "330164697",
"telephone_number": "305-456-6803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "DINORAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-09",
"last_updated": "2013-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "FL",
"license": "MA62302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.