Organization Active NPI

Gerardo Gonzalez MD PA

  • Specialist
  • Hialeah, FL
National Provider Identifier
1790206308
Registry record updated Jul 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GERARDO GONZALEZ MD PA
Practice address
2387 W 68TH St Ste 304
Hialeah, FL 33016-6890
Phone
(305) 824-3604
NPI assigned
Jul 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2017

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

Authorized official

Name
Gerardo Gonzalez
Title
MD/President
Phone
(305) 824-3604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2387 W 68TH St Ste 304
Hialeah, FL 33016-6890

Mailing address

2387 W 68TH St Ste 304
Hialeah, FL 33016-6890

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499212800000",
    "number": "1790206308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2387 W 68TH ST STE 304",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 W 68TH ST STE 304",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166890",
            "telephone_number": "305-824-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERARDO GONZALEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-05",
        "last_updated": "2017-07-05",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "305-824-3604"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "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 Jul 5, 2017; 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.