Individual provider Active NPI

Alberto Gonzalez-Gomez, MD

  • General Practice Physician
  • Coral Gables, FL
National Provider Identifier
1891785994
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME91892 Issued in FL
Practice address
5200 SW 8TH St
Ste 204B
Coral Gables, FL 33134-2300
Phone
(305) 445-9330
Fax
(305) 448-6448
NPI assigned
Oct 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME91892 FL Primary

Addresses

Primary practice location

5200 SW 8TH St
Ste 204B
Coral Gables, FL 33134-2300

Mailing address

5200 SW 8TH St
Ste 204B
Coral Gables, FL 33134-2300
Phone (305) 445-9330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME91892FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medley Clinic Center Inc Past Accepting new patients
Los Angeles Medical Center Inc General Practice Past Accepting new patients
Medical General Assistant Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1891785994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 SW 8TH ST",
            "address_2": "STE 204B",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342300",
            "telephone_number": "305-445-9330",
            "fax_number": "305-448-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 SW 8TH ST",
            "address_2": "STE 204B",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342300",
            "telephone_number": "305-445-9330",
            "fax_number": "305-448-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-GOMEZ",
        "first_name": "ALBERTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME91892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.