Active NPI
Jose Luis Gonzalez, MD
- Neurology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME128150
- 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, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019432600 | Medicaid | FL |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME128150 | FL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey L Horstmyer MD PA | Current | Accepting new patients | |
| Joaquin S Maury MD PA | Neurology | Current | 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
- 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.
-
- Neurology Physician
- Miami, FL
- NPI 1770907743
-
- Specialist
- Miami, FL
- NPI 1609918804
-
- Gastroenterology Physician
- Okeechobee, FL
- NPI 1255583787
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Hospital
- General Acute Care Hospital
- Miami, FL
- NPI 1528042884
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.