Individual provider Active NPI

Jesus Gonzalez Jr., M.D.

  • Family Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1881645729
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 45503 Issued in FL
Practice address
1540 Washington Ave
Miami Beach, FL 33139-7801
Phone
(305) 534-6251
Fax
(305) 667-5537
NPI assigned
May 15, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 ME 45503 FL Primary

Addresses

Primary practice location

1540 Washington Ave
Miami Beach, FL 33139-7801

Mailing address

PO Box 190857
Miami Beach, FL 33119-0857
Phone (305) 534-6251

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
I20101109000795 FL Practitioner - Family Practice 5193910701 Practice locations: Miami, FL; Miami Beach, FL; North Bay Village, FL; North Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1400 NW 12 Ave
Univ of Miami Hosp
Miami, FL 33136-1087
Phone (305) 689-5511

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 45503FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jesus Gonzalez Jr MD Family Medicine PastSince Oct 15, 1984 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jesus.gonzalez.1@4307.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Coral Reef Subacute Care Center LLCMiami, FL, CCN 105910 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Aug 15, 2023
Aug 15, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881645729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190857",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331190857",
            "telephone_number": "305-534-6251",
            "fax_number": "305-667-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 WASHINGTON AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331397801",
            "telephone_number": "305-534-6251",
            "fax_number": "305-667-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JESUS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 45503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.