Individual provider Active NPI

Agustin Jose Cabrera Goncalves, MD

  • Pediatric Pulmonology Physician
  • Miami, FL
National Provider Identifier
1831612993
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
ME156145 Issued in FL
Practice address
1580 NW 10TH Ave FL 1
Miami, FL 33136-1013
Phone
(713) 289-9023
Fax
(305) 243-6708
NPI assigned
Jul 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME156145 FL
Pediatric Pulmonology Physician 2080P0214X ME156145 FL Primary

Addresses

Primary practice location

1580 NW 10TH Ave FL 1
Miami, FL 33136-1013

Mailing address

11788 SW 151St Path
Miami, FL 33196-2563
Phone (713) 289-9023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200520001269 TX Practitioner - Pediatric Medicine 0840621157 Reassigns benefits to 1 organization
I20250313001988 FL Practitioner - Pediatric Medicine 0840621157 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME156145FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Pediatric Pulmonology CurrentSince Mar 11, 2025 Accepting new patients
University of Miami Pediatrics CurrentSince Mar 11, 2025 Accepting new patients
University of Miami Current Accepting new patients

Locations

1580 NW 10th Ave
Miami, FL 33136
Phone (305) 243-4546

1580 NW 10th Ave
Fl 1
Miami, FL 33136
Phone (305) 243-3166

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1831612993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11788 SW 151ST PATH",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962563",
            "telephone_number": "713-289-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 NW 10TH AVE FL 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361013",
            "telephone_number": "713-289-9023",
            "fax_number": "305-243-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA GONCALVES",
        "first_name": "AGUSTIN",
        "middle_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-20",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME156145",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "FL",
            "license": "ME156145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.