Active NPI
Raquel M Gonzalez, M.D.
- Pediatrics Physician
- Miami, FL
National Provider Identifier
1871581249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0060686
- Practice address
- 5385 NE 2ND Ave
Miami, FL 33137-2707 - Phone
- (305) 756-9977
- Fax
- (305) 756-5757
- NPI assigned
- Oct 11, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0060686 | FL | Primary |
Addresses
Primary practice location
5385 NE 2ND Ave
Miami, FL 33137-2707
Mailing address
5801 Miami Lakes Dr E
Miami Lakes, FL 33014-2401
Phone (305) 821-9115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253491600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0060686 | FL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1871581249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 MIAMI LAKES DR E",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142401",
"telephone_number": "305-821-9115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5385 NE 2ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331372707",
"telephone_number": "305-756-9977",
"fax_number": "305-756-5757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "RAQUEL",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-11",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0060686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253491600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.