Individual provider Active NPI

Antonio Gonzalez, M.D

  • General Practice Physician
  • Immokalee, FL
National Provider Identifier
1720047152
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN-248 Issued in FL
Practice address
125 Boston Ave
Immokalee, FL 34142-4017
Phone
(239) 658-3000
Fax
(239) 657-9600
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN-248 FL Primary

Addresses

Primary practice location

125 Boston Ave
Immokalee, FL 34142-4017

Mailing address

1454 Madison Ave W
Immokalee, FL 34142-2200
Phone (239) 658-3000

Other identifiers 1

IdentifierTypeStateIssuer
124940900MedicaidFL

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
I20070809000300 FL Practitioner - General Practice 9739198474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Collier Health Services, Inc 29 clinicians

Practice addresses (Care Compare)

1454 Madison Ave W
Immokalee, FL 34142-2200
Phone (239) 658-3064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16338PRMDOrthopaedic Surgery Physician
ACN-248FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Collier Health Services Inc CurrentSince Dec 9, 2024 Accepting new patients
Collier Health Services, Inc CurrentSince Dec 9, 2024 Accepting new patients
Collier Health Services Inc General Practice Past Accepting new patients
Collier Health Services Inc General Practice Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc General Practice Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc General Practice Past Accepting new patients
Collier Health Services, Inc General Practice Past Accepting new patients
Collier Health Services, Inc General Practice Past Accepting new patients
Collier Health Services, Inc General Practice Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc General Practice Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc General Practice Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services, Inc General Practice Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc General Practice Past Accepting new patients
Collier Health Services Inc General Practice Past Accepting new patients
Alternativa Moderna de Medicina Especializada Inc Past Accepting new patients
Collier Health Services, Inc General Practice Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc General Practice Past Accepting new patients
Collier Health Services Inc General Practice Past Accepting new patients
Collier Health Services Inc General Practice Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc General Practice Past Accepting new patients
Collier Health Services Inc Past Accepting new patients

Locations

125 Boston Ave
Immokalee, FL 34142
Phone (239) 657-5800

1454 Madison Ave W
Immokalee, FL 34142
Phone (239) 658-3064

508 N 9th St
Unit 142
Immokalee, FL 34142
Phone (239) 657-6363

1845 Veterans Park Dr
Naples, FL 34109
Phone (239) 571-9015

2355 Stanford Ct
Ste 701
Naples, FL 34112

1265 Creekside Pkwy
Ste 206
Naples, FL 34108
Phone (239) 591-2125

12655 Collier Blvd
Naples, FL 34116
Phone (239) 571-9015

Interoperability endpoints

  • Direct secure messaging: antonio.gonzalez.1@10865.direct.athenahealth.com

Organizations & group practices 44

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.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1720047152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 MADISON AVE W",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341422200",
            "telephone_number": "239-658-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BOSTON AVE",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341424017",
            "telephone_number": "239-658-3000",
            "fax_number": "239-657-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN-248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124940900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Immokalee, FL

Sources for this page

Verify at the official NPI Registry.