Active NPI
Alfredo Gonzalez-Vergara, M.D.
- Family Medicine Physician
- Miami Lakes, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME100138
- Practice address
- 15225 NW 77TH Ave
Miami Lakes, FL 33014-7804 - Phone
- (305) 230-4821
- Fax
- (888) 498-3163
- NPI assigned
- Aug 7, 2007
- Last updated
- Oct 12, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME100138 | FL | Primary |
Addresses
Primary practice location
15225 NW 77TH Ave
Miami Lakes, FL 33014-7804
Mailing address
860 NW 42ND Ave
FL 5
Miami, FL 33126
Phone (305) 504-7885
Other practice location 1
80 Wilson Blvd S Ste 11
Naples, FL 34117-9386
Phone (239) 208-5390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
80 Wilson Blvd S
Suite 11
Naples, FL 34117-9386
Phone (239) 208-5990
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME100138 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Univida Medical Center LLC | Current | Accepting new patients | |
| Sunrise Medcare Center Inc | Family Medicine | Current | Accepting new patients |
| Lehigh Hma Physician Management, LLC | Family Medicine | Past | Accepting new patients |
| Continucare Medical Management Inc | Past | Accepting new patients |
Locations
860 NW 42nd Ave
Fl 5
Miami, FL 33126
Phone (305) 504-7885
15225 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 230-4821
80 Wilson Blvd S
Ste 11
Naples, FL 34117
Phone (239) 208-5390
1800 N Douglas Rd
Pembroke Pines, FL 33024
Phone 3052040333 ext. 40333
6400 SW 8th St
West Miami, FL 33144
Phone (305) 239-2515
Interoperability endpoints
- alfredo.gonzalezvergara@univ.eclinicaldirectplus.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Naples, FL
- NPI 1730844549
-
dba VivaMas Medical Center - Pembroke Pines
- Internal Medicine Physician
- Pembroke Pines, FL
- NPI 1871203356
-
- General Practice Physician
- West Miami, FL
- NPI 1487321774
-
dba Continucare Medical Center
- Multi-Specialty Clinic/Center
- Hallandale Beach, FL
- NPI 1508263872
-
dba Lehigh Medical Group
- Family Medicine Physician
- Lehigh Acres, FL
- NPI 1366499212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1790976371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 NW 42ND AVE",
"address_2": "FL 5",
"city": "MIAMI",
"state": "FL",
"postal_code": "33126",
"telephone_number": "305-504-7885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15225 NW 77TH AVE",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330147804",
"telephone_number": "305-230-4821",
"fax_number": "888-498-3163"
}
],
"practiceLocations": [
{
"address_1": "80 Wilson Blvd S Ste 11",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "341179386",
"country_code": "US",
"telephone_number": "239-208-5390",
"fax_number": "239-302-6813",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ-VERGARA",
"first_name": "ALFREDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-07",
"last_updated": "2023-10-12",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME100138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.