Individual provider Active NPI

Joel Gonzalez, M.D.

  • Internal Medicine Physician
  • Homestead, FL
National Provider Identifier
1902136617
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME113736 Issued in FL
Practice address
50 NW 15TH St Ste 101
Homestead, FL 33030-4267
Phone
(786) 886-1030
Fax
(786) 377-9629
NPI assigned
Dec 31, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME113736 FL
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X ME113736 FL Primary

Addresses

Primary practice location

50 NW 15TH St Ste 101
Homestead, FL 33030-4267

Mailing address

975 Baptist Way
Homestead, FL 33033-7600
Phone (786) 243-8073

Other practice location 1

13607 Pine Villa Ln
Fort Myers, FL 33912-1617
Phone (786) 556-2656

Other practice location 2

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8073

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
I20130205000382 FL Practitioner - Internal Medicine 2961656665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centers of Medical Excellence LLCGroup PAC ID 9739588666, 8 clinicians

Practice addresses (Care Compare)

50 NW 15TH St
Suite 101
Homestead, FL 33030-4267
Phone (786) 886-1030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centers of Medical Excellence, LLC CurrentSince Aug 1, 2022 Accepting new patients
Centers of Medical Excellence, LLC PastSince Aug 18, 2024 Accepting new patients
Cape Coral Hospitalists Inc Internal Medicine Past Accepting new patients
Florida Institute for Cardiovascular Care PA Past Accepting new patients

Locations

7925 NW 12th St
Ste 201
Doral, FL 33126

3500 Hollywood Blvd
Hollywood, FL 33021
Phone (954) 239-6060

50 NW 15th St
Homestead, FL 33030
Phone (786) 397-4636

50 NW 15th St
Ste 101
Homestead, FL 33030
Phone (786) 515-9771

967 N Krome Ave
Homestead, FL 33030
Phone (786) 949-7470

1176 SW 67th Ave
Miami, FL 33144
Phone (305) 359-9838

1501 NW 36th St
Miami, FL 33142
Phone (786) 260-8151

5850 W Flagler St
Miami, FL 33144
Phone (305) 263-9590

Organizations & group practices 4

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": "1262217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1902136617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 BAPTIST WAY",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337600",
            "telephone_number": "786-243-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NW 15TH ST STE 101",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304267",
            "telephone_number": "786-886-1030",
            "fax_number": "786-377-9629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13607 Pine Villa Ln",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339121617",
            "country_code": "US",
            "telephone_number": "786-556-2656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "975 Baptist Way",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "33033",
            "country_code": "US",
            "telephone_number": "786-243-8073",
            "fax_number": "786-243-8074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-31",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME113736",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME113736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.