NPIMap

Individual provider Active NPI

Elieser Gonzalez Reina

  • Internal Medicine Physician
  • Palmetto Bay, FL
National Provider Identifier
1780068809
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME129357 Issued in FL
Practice address
16722 SW 78TH CT
Palmetto Bay, FL 33157-3788
Phone
(787) 628-3848
NPI assigned
Jul 18, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31590R PR
Family Medicine Physician 207Q00000X ME129357 FL
Internal Medicine Physician 207R00000X ME129357 FL Primary

Addresses

Primary practice location

16722 SW 78TH CT
Palmetto Bay, FL 33157-3788

Mailing address

16722 SW 78TH CT
Palmetto Bay, FL 33157-3788
Phone (787) 628-3848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190508000233 FL Practitioner - General Practice 9234471434 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Docs PC 181 clinicians

Practice addresses (Care Compare)

9333 SW 152ND St
Palmetto Bay, FL 33157-1778
Phone (609) 585-1122

Hospital & facility affiliations

  • D&N Home Care Agency Inc Home health agency, Miami, FL, CCN 687120
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Jackson Health System Hospital, Miami, FL, CCN 100022
  • Larkin Community Hospital Palm Springs Campus Hospital, Hialeah, FL, CCN 100050
  • Univ of Miami Hospital and Clinics-Sylvester Compr Hospital, Miami, FL, CCN 100079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31590RPRMDFamily Medicine Physician
ME129357FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rodriguez Torrecilla LLC Internal Medicine CurrentSince Mar 10, 2024 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Cogent Healthcare of Pensacola LLC Family Medicine Current Accepting new patients
Gallos Medical Services Corp Family Medicine CurrentSince May 19, 2024 Accepting new patients
First Docs PC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
JMH Internal Medicine Specialist LLC Internal Medicine CurrentSince Mar 24, 2019 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Mar 24, 2019 Accepting new patients
QMC LLC CurrentSince Jul 28, 2019 Accepting new patients

Locations

1475 W 49th St
Hialeah, FL 33012
Phone (305) 824-4761

1475 W 49th Pl
Hialeah, FL 33012
Phone (305) 204-9318

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1611 NW 12th Ave
Apt C150
Miami, FL 33136
Phone (305) 585-3627

2423 SW 147th Ave
Miami, FL 33185
Phone (305) 317-2426

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

9380 SW 150th St
Ste 210
Miami, FL 33176
Phone (305) 256-5018

1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

4960 SW 72nd Ave
Ste 303
Miami, FL 33155
Phone (305) 591-1606

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

9333 SW 152nd St
Palmetto Bay, FL 33157
Phone (305) 251-2500

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

Organizations & group practices 9

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.

Hospital & facility affiliations 30

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1780068809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16722 SW 78TH CT",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331573788",
            "telephone_number": "787-628-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16722 SW 78TH CT",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331573788",
            "telephone_number": "787-628-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ REINA",
        "first_name": "ELIESER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-18",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "31590R",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME129357",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME129357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

Verify at the official NPI Registry.