Individual provider Active NPI

Enrique F. Gonzalez Jimenez

  • Surgical Assistant
  • Hialeah, FL
National Provider Identifier
1730637943
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
15-655 Issued in WI
Practice address
865 E 52ND St
Hialeah, FL 33013-1749
Phone
(786) 655-1784
NPI assigned
Sep 16, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 15-655 WI Primary

Addresses

Primary practice location

865 E 52ND St
Hialeah, FL 33013-1749

Mailing address

865 E 52ND St
Hialeah, FL 33013-1749
Phone (786) 655-1784

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

LicenseStateTypeSpecialty
15-655WIMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Margo Behavior Inc Current Accepting new patients
Margo Behavior Inc Current Accepting new patients

Organizations & group practices 2

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": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1730637943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 E 52ND ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131749",
            "telephone_number": "786-655-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 E 52ND ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131749",
            "telephone_number": "786-655-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ JIMENEZ",
        "first_name": "ENRIQUE",
        "middle_name": "F.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-16",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "WI",
            "license": "15-655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.