Jorge L Gonzalez

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0-03-0981 Issued in FL

Practice address

8425 NW 8TH St
403
Miami, FL 33126-3769

Phone

(305) 389-0709

Fax

(305) 261-1890

NPI assigned

Nov 5, 2008

Last updated

Nov 5, 2008By 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 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Miami-Dade Targeted Case Management, Corp

  • Social Worker
  • Miami, FL
  • NPI 1699140939
  Authorized official Same address or phone

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1770737603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8425 NW 8TH ST",
            "address_2": "403",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263769",
            "telephone_number": "305-389-0709",
            "fax_number": "305-261-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8425 NW 8TH ST",
            "address_2": "403",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263769",
            "telephone_number": "305-389-0709",
            "fax_number": "305-261-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JORGE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "0-03-0981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "676238796",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "676238700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691481179",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "676238798",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johana Gonzalez
• Jonathan Gustavo Gonzalez
• Jorge Gonzalez, PT
• Jorge A Gonzalez, L.M.T
• Jorge A Gonzalez Sr., ARNP
• Jorge Ricardo Gonzalez, MD
• Jose Gonzalez, MD
• Jose Alberto Gonzalez Sr., SURGICAL ASSISTANT
• Jose Antonio Gonzalez, PA
• Jose Antonio Gonzalez, LMHC

• Behavior Analyst in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.