Edgar Gonzalez, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME127984 Issued in FL

Practice address

7400 SW 50TH Ter Ste 203
Miami, FL 33155-4486

Phone

(786) 798-8280

Fax

(786) 534-8191

NPI assigned

Dec 13, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centrum Medical Holdings, LLCGroup PAC ID 8820422991, 51 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: egonzalez@mbmg.directbygreenway.com

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.

• Centrum Medical Holdings, LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1538714282
  Medicare reassignment Care Compare group NPD
• Centrum Medical Centers Kendall, LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1912625153
  NPD
• Med Care Centers LLC

  • Clinic/Center
  • Miami, FL
  • NPI 1114485638
  NPD
• Medcare Centers, LLC

  • Primary Care Clinic/Center
  • Cutler Bay, FL
  • NPI 1548802010
  NPD
• Medcare Centers, LLC

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1578105052
  NPD

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1801132121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 SW 50TH TER STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554486",
            "telephone_number": "786-798-8280",
            "fax_number": "786-534-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 SW 50TH TER STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554486",
            "telephone_number": "786-798-8280",
            "fax_number": "786-534-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "EDGAR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-13",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME127984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dixis Gonzalez, APRN
• Dora Gonzalez
• Dorisleydi Gonzalez
• Dulce Gonzalez
• Edelwis Gonzalez
• Edith Andrea Gonzalez
• Edith Gisselle Gonzalez, RMHCI
• Eduardo Gonzalez, APRN
• Eduardo Joaquin Gonzalez, MD
• Edurme I Gonzalez

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.