Individual provider Active NPI

Javier Gonzalez, MD

  • Emergency Medicine Physician
  • Ponce, PR
National Provider Identifier
1881994770
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME143212 Issued in FL
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200526002390 FL Practitioner - Emergency Medicine 5395916977 Reassigns benefits to 4 organizations

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
Synergy Medical Collective, PAGroup PAC ID 8628429958, 15 clinicians

Practice addresses (Care Compare)

2500 SW 75 Ave
Miami, FL 33155-2805
Phone (888) 537-2589

Hospital & facility affiliations

  • HCA Florida Lehigh Hospital Hospital, Lehigh Acres, FL, CCN 100107
  • HCA Florida Kendall Hospital Hospital, Miami, FL, CCN 100209
  • HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236
  • Keralty Hospital Hospital, Miami, FL, CCN 100284
  • Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME143212FLMDEmergency Medicine Physician
33161RPRMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Medical Collective, PA Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
Westchester General Hospital, Inc. CurrentSince Feb 17, 2024 Accepting new patients
Westchester General Hospital, Inc. CurrentSince Feb 17, 2024 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Arturo Corces MD PA PastSince Oct 1, 2023 Accepting new patients
Emergency Physician Solutions of South Florida, LLC Emergency Medicine PastSince Mar 1, 2020 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.