Organization Active NPI

Maria de Jesus Gonzalez

  • Specialist
  • Miami, FL
National Provider Identifier
1902852924
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT 14991 Issued in FL
Legal business name
MARIA DE JESUS GONZALEZ
Practice address
6043 NW 167TH St
Suite A11
Miami, FL 33015-4326
Phone
(305) 231-1544
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maria De Jesus Gonzalez, PHYSICAL THERAPIST
Title
Physical Therapist
Phone
(305) 231-1544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X PT 14991 FL Primary

Addresses

Primary practice location

6043 NW 167TH St
Suite A11
Miami, FL 33015-4326

Mailing address

6043 NW 167TH St
Suite A11
Miami, FL 33015-4326
Phone (305) 231-1544

Other identifiers 1

IdentifierTypeStateIssuer
PT 14991OtherFLLICENSE NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902852924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6043 NW 167TH ST",
            "address_2": "SUITE A11",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "330154326",
            "telephone_number": "305-231-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6043 NW 167TH ST",
            "address_2": "SUITE A11",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "330154326",
            "telephone_number": "305-231-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA DE JESUS GONZALEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "DE JESUS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "305-231-1544",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "PT 14991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PT 14991",
            "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 Aug 22, 2020; 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.