Individual provider Active NPI

Nelson Gonzalez, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1871710079
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME99884 Issued in FL
Practice address
8601 SW 124TH Ave
Miami, FL 33183-4601
Phone
(305) 537-4111
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME99884 FL Primary

Addresses

Primary practice location

8601 SW 124TH Ave
Miami, FL 33183-4601

Mailing address

860 NW 42ND Ave
FL 5
Miami, FL 33126
Phone (305) 504-7885

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100607000114 FL Practitioner - Family PracticePractitioner - Internal Medicine 1153451836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VMFL Medical Centers LLCGroup PAC ID 6103299326, 13 clinicians

Practice addresses (Care Compare)

8601 SW 124TH Ave
Miami, FL 33183-4601
Phone (305) 537-4111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME99884FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VMFL Medical Centers LLC CurrentSince May 1, 2023 Accepting new patients
VMFL Medical Centers LLC Current Accepting new patients
VMFL Medical Centers LLC Family Medicine CurrentSince May 1, 2023 Accepting new patients
Leon Medical Centers LLC CurrentSince Dec 3, 2012 Accepting new patients
VMFL Medical Centers LLC Family Medicine Past Accepting new patients
Santos Medical Center Miami Lakes Inc PastSince Apr 6, 2023 Accepting new patients

Locations

8600 NW 41st St
Doral, FL 33166
Phone (305) 642-1511

1565 W 29th St
Hialeah, FL 33012
Phone (305) 537-4110

11501 SW 40th St
Miami, FL 33165
Phone (305) 646-3716

12515 SW 88th St
Miami, FL 33186
Phone (305) 631-3892

8601 SW 124th Ave
Miami, FL 33183
Phone (305) 537-4111

109 Royal Palm Way
Palm Beach, FL 33480

Interoperability endpoints

  • Direct secure messaging: nelson.gonzalez.p1@direct.vivamasmedical.nextgenshare.com

Organizations & group practices 6

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1871710079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 NW 42ND AVE",
            "address_2": "FL 5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33126",
            "telephone_number": "305-504-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 SW 124TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834601",
            "telephone_number": "305-537-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "NELSON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME99884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.