Individual provider Active NPI

Jose Luis Gonzalez, MD

  • Neurology Physician
  • Miami, FL
National Provider Identifier
1881950905
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME128150 Issued in FL
Practice address
8200 SW 117TH Ave Ste 416
Miami, FL 33183-4828
Phone
(786) 409-7662
Fax
(786) 409-5881
NPI assigned
Apr 3, 2012
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME128150 FL Primary

Addresses

Primary practice location

8200 SW 117TH Ave Ste 416
Miami, FL 33183-4828

Mailing address

8200 SW 117TH Ave Ste 416
Miami, FL 33183-4828
Phone (786) 409-7662

Other identifiers 1

IdentifierTypeStateIssuer
019432600MedicaidFL

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
I20160728000934 FL Practitioner - Neurology 4688967664 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Yale University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joaquin S Maury MD PAGroup PAC ID 8820218621, 2 clinicians

Practice addresses (Care Compare)

8200 SW 117TH Ave
Suite 416
Miami, FL 33183-4828
Phone (786) 409-7662

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME128150FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey L Horstmyer MD PA CurrentSince Dec 31, 2017 Accepting new patients
Joaquin S Maury MD PA Neurology CurrentSince Mar 1, 2021 Accepting new patients
Lake Okeechobee Digestive Disease Center PA Past Accepting new patients

Locations

3661 S Miami Ave
Ste 209
Miami, FL 33133
Phone (305) 856-8942

8200 SW 117th Ave
Ste 416
Miami, FL 33183
Phone (786) 262-7187

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHCICD

Organizations & group practices 3

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 2

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": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1881950905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 SW 117TH AVE STE 416",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834828",
            "telephone_number": "786-409-7662",
            "fax_number": "786-409-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 SW 117TH AVE STE 416",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834828",
            "telephone_number": "786-409-7662",
            "fax_number": "786-409-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-03",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME128150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019432600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.