Jose Gonzalez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11013866 Issued in FL

Practice address

3580 Lake Worth Rd
Palm Springs, FL 33461-4029

Phone

(561) 425-5075

Fax

(561) 275-7134

NPI assigned

Jun 24, 2021

Last updated

Jun 24, 2021By the provider in NPPES

Sex

Male

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Soma Medical Center PA 6Group PAC ID 6406239540, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EFIECD
• FHIR API: https://fhir4.healow.com/fhir/r4/IFGECD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Soma Medical Center PA 6

  • Primary Care Clinic/Center
  • Palm Springs, FL
  • NPI 1295145704
  Medicare reassignment Care Compare group NPD
• Soma Medical Center, PA

  dba Rafael O. Nunez

  • Internal Medicine Physician
  • Palm Springs, FL
  • NPI 1467499038
  Medicare reassignment NPD
• Soma Medical Center .PA #6

  • Primary Care Clinic/Center
  • Boynton Beach, FL
  • NPI 1609449362
  NPD
• Soma Medical Center, PA

  dba Soma Medical Center PA Royal Palm

  • Internal Medicine Physician
  • Royal Palm Beach, FL
  • NPI 1538805965
  NPD

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1720657588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9278 NW 13TH PL",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716602",
            "telephone_number": "786-286-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 LAKE WORTH RD",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334614029",
            "telephone_number": "561-425-5075",
            "fax_number": "561-275-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JOSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11013866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "11013866",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camila Gonzalez Pino
• Lyuba Gonzalez Rueda
• Cindy Gonzalez Vargas
• Armando Gonzalez, M.D
• Diego Alejandro Gonzalez, BS
• Osvani Gonzalez
• Ramon Gonzalez
• Regla De la Caridad Gonzalez, RBT
• Esther Lidia Gordon Marquez
• Anquiette L Goree, APRN, FNP-C

• Family Nurse Practitioner in Palm Springs, FL
• Providers in Palm Springs, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.