Riquel Gonzalez DPM PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO3603 Issued in FL

Legal business name

RIQUEL GONZALEZ DPM PA

Practice address

4999 W 8TH Ave Ste 22
Hialeah, FL 33012-3409

Phone

(786) 536-4542

Fax

(786) 536-4484

NPI assigned

Apr 25, 2013

Organization subpart

No

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

Authorized official

Name

Riquel Gonzalez, DPMNPI 1457693566

Title

President

Phone

(305) 962-9089

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Riquel Gonzalez, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hialeah, FL
  • NPI 1457693566
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1730523317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4999 W 8TH AVE STE 22",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123409",
            "telephone_number": "786-536-4542",
            "fax_number": "786-536-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4999 W 8TH AVE STE 22",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123409",
            "telephone_number": "786-536-4542",
            "fax_number": "786-536-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIQUEL GONZALEZ DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-25",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "RIQUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-962-9089",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.