Active NPI
Stephanie M Gonzalez Sanchez
- Pediatrics Physician
- Clermont, FL
National Provider Identifier
1851965784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 176805
- Practice address
- 706 E Grand Hwy
Clermont, FL 34711-3708 - Phone
- (352) 557-4965
- NPI assigned
- May 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 176805 | FL | Primary |
| Pediatrics Physician | 208000000X | 23195 | PR |
Addresses
Primary practice location
706 E Grand Hwy
Clermont, FL 34711-3708
Mailing address
735 Ave de la Constitucion
San Juan, PR 00917
Phone (787) 758-2000
Other practice location 1
Torre Medica Auxilio Mutuo 735 Av. de la Constitucion
San Juan, PR 00917
Phone (787) 758-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250520004965 | PR | Order and Referring Only - Pediatric Medicine | 8123546397 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 176805 | FL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1851965784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 AVE DE LA CONSTITUCION",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00917",
"telephone_number": "787-758-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 E GRAND HWY",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347113708",
"telephone_number": "352-557-4965"
}
],
"practiceLocations": [
{
"address_1": "Torre Medica Auxilio Mutuo 735 Av. de la Constitucion",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "00917",
"country_code": "US",
"telephone_number": "787-758-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ SANCHEZ",
"first_name": "STEPHANIE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-15",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "176805",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "23195",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.