Individual provider Active NPI

Ruben Gonzalez-Perez, M.D.

  • Interventional Pain Medicine Physician
  • Miami, FL
National Provider Identifier
1710972328
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME42929 Issued in FL
Practice address
11780 SW 89TH St
3Rd Floor
Miami, FL 33186-2181
Phone
(305) 260-9803
Fax
(305) 260-9298
NPI assigned
Sep 20, 2005
Reactivated
Apr 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME42929 FL
Interventional Pain Medicine Physician 208VP0014X ME42929 FL Primary

Addresses

Primary practice location

11780 SW 89TH St
3Rd Floor
Miami, FL 33186-2181

Mailing address

11780 SW 89TH St
3Rd Floor
Miami, FL 33186-2181
Phone (305) 260-9803

Other identifiers 1

IdentifierTypeStateIssuer
043741700MedicaidFL

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
I20040922000733 FL Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 3971571464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Pain Treatment Center IncGroup PAC ID 0042288557, 2 clinicians

Practice addresses (Care Compare)

11780 SW 89TH St
FL 3
Miami, FL 33186-2101
Phone (305) 260-9803

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pain Treatment Center Inc Specialist CurrentSince Oct 1, 2001 Accepting new patients

Locations

11780 SW 89th St
Ste 300
Miami, FL 33186

8396 SW 8th St
#2
Miami, FL 33144
Phone (305) 260-9803

11780 SW 89th St
Fl 3
Miami, FL 33186
Phone (305) 260-9803

6175 NW 153rd St
Ste 312
Miami Lakes, FL 33014
Phone (786) 762-2364

Organizations & group practices 1

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1710972328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11780 SW 89TH ST",
            "address_2": "3RD FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862181",
            "telephone_number": "305-260-9803",
            "fax_number": "305-260-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11780 SW 89TH ST",
            "address_2": "3RD FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862181",
            "telephone_number": "305-260-9803",
            "fax_number": "305-260-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-PEREZ",
        "first_name": "RUBEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME42929",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME42929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043741700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.