Marco Tulio Gonzalez, MD

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

50288 Issued in AZ

Practice address

401 NW 42ND Ave
Plantation, FL 33317-2835

Phone

(954) 587-5010

NPI assigned

Dec 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: marco.gonzalez.1@14294.direct.athenahealth.com
• Direct secure messaging: mgonzalez8312@ahs.direct-ci.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.

• Arizona OB GYN Affiliates PC

  • Specialist
  • Phoenix, AZ
  • NPI 1750589404
  NPD (past)
• Banner del E Webb Medical Center

  • General Acute Care Hospital
  • Sun City West, AZ
  • NPI 1588823553
  NPD (past)
• Banner Estrella Medical Center

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1275566200
  NPD (past)
• Hospital Development of West Phoenix Inc

  • General Acute Care Hospital
  • Goodyear, AZ
  • NPI 1093791170
  NPD (past)
• VHS of Arrowhead, Inc

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1326022765
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1821074683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17540",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333187540",
            "telephone_number": "954-838-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NW 42ND AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172835",
            "telephone_number": "954-587-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MARCO",
        "middle_name": "TULIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "AZ",
            "license": "50288",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "FL",
            "license": "ME65503",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME65503",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379025800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angel Gonzalez, DC
• Cristina L Gonzalez
• Hector Hugo Gonzalez, M.D.
• Jessica Ana Gonzalez, PT, DPT
• Lilly M Gonzalez, M.D.
• Nathasha Jannet Gonzalez
• Raquel Aimee Gonzalez, PHARM D
• Yandry Gonzalez
• Yvette Gonzalez, APRN, FNP-BC
• Good Hope Home Care LLC

• Neonatal-Perinatal Medicine Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Neonatal-Perinatal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.