Active NPI
Javier Gonzalez, MD
- Emergency Medicine Physician
- Ponce, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME143212
- Practice address
- Hospital Episcopal San Lucas Ponce
Ave Tito Castro, Num. 917 PO Box 336810
Ponce, PR 00733 - Phone
- (787) 843-3031
- NPI assigned
- Oct 26, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9105692 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 33161R | PR | |
| Emergency Medicine Physician | 207P00000X | ME143212 | FL | Primary |
Addresses
Primary practice location
Hospital Episcopal San Lucas Ponce
Ave Tito Castro, Num. 917 PO Box 336810
Ponce, PR 00733
Mailing address
1225 Blvd San Luis H13
Urb Villas de Laurel I
Coto Laurel, Ponce, PR 00780
Phone (305) 992-8155
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
- Emergency Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 SW 75 Ave
Miami, FL 33155-2805
Phone (888) 537-2589
Hospital & facility affiliations
- HCA Florida Lehigh Hospital
- HCA Florida Kendall Hospital
- HCA Florida Fawcett Hospital
- Keralty Hospital
- Villages Regional Hospital, the
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME143212 | FL | MD | Emergency Medicine Physician |
| 33161R | PR | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Medical Collective, PA | Emergency Medicine | Current | Accepting new patients |
| Westchester General Hospital, Inc. | Current | Accepting new patients | |
| Westchester General Hospital, Inc. | Current | Accepting new patients | |
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| Arturo Corces MD PA | Past | Accepting new patients | |
| Emergency Physician Solutions of South Florida, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
3100 SW 37th Ave
Coral Gables, FL 33134
Phone (305) 441-6868
10915 NW 41st St
Doral, FL 33178
Phone (305) 227-5548
651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960
11800 Sherri Ln
Miami, FL 33183
Phone (305) 227-5579
2500 SW 75th Ave
Miami, FL 33155
Phone (305) 431-0577
3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Miami, FL
- NPI 1659086585
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medical Services (Emergency Medicine) Physician
- Miami, FL
- NPI 1578183331
-
- Gastroenterology Physician
- Miami, FL
- NPI 1801589197
-
- Specialist
- Doral, FL
- NPI 1104605641
-
- Emergency Medicine Physician
- Atlantis, FL
- NPI 1609298181
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1417901406
-
- General Acute Care Hospital
- Lehigh Acres, FL
- NPI 1982426615
-
- General Acute Care Hospital
- Miami, FL
- NPI 1710931522
-
- General Acute Care Hospital
- The Villages, FL
- NPI 1740276518
-
- General Acute Care Hospital
- Miami, FL
- NPI 1548284177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1881994770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 BLVD SAN LUIS H13",
"address_2": "URB VILLAS DE LAUREL I",
"city": "COTO LAUREL, PONCE",
"state": "PR",
"postal_code": "00780",
"telephone_number": "305-992-8155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOSPITAL EPISCOPAL SAN LUCAS PONCE",
"address_2": "AVE TITO CASTRO, NUM. 917 PO BOX 336810",
"city": "PONCE",
"state": "PR",
"postal_code": "00733",
"telephone_number": "787-843-3031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JAVIER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-26",
"last_updated": "2022-07-21",
"certification_date": "2020-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9105692",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": "33161R",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME143212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.