Individual provider Active NPI

Armando Gonzalez, M.D

  • Pediatrics Physician
  • Palm Springs, FL
National Provider Identifier
1912199936
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME109755 Issued in FL
Practice address
3713 S. Congress Ave
Palm Springs, FL 33461-7469
Phone
(561) 649-9296
Fax
(561) 649-9382
NPI assigned
Aug 14, 2007
Last updated
May 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 001739 GA
Pediatrics Physician 208000000X ME109755 FL Primary

Addresses

Primary practice location

3713 S. Congress Ave
Palm Springs, FL 33461-7469

Mailing address

3713 S Congress Ave
Palm Springs, FL 33461-3753
Phone (561) 649-9296

Other identifiers 1

IdentifierTypeStateIssuer
003999000MedicaidFL

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
I20140605000639 FL Practitioner - Pediatric Medicine 5395969745 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001739GAMDMarriage & Family Therapist
ME109755FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services LLC CurrentSince Jun 1, 2014 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Jun 1, 2014 Accepting new patients
Pediatric Care Center No2 Inc Pediatrics Past Accepting new patients

Locations

3713 S Congress Ave
Palm Springs, FL 33461
Phone (561) 649-4342

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

5405 Okeechobee Blvd
Ste 100
West Palm Beach, FL 33417
Phone (561) 420-8492

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1912199936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3713 S CONGRESS AVE",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613753",
            "telephone_number": "561-649-9296",
            "fax_number": "561-649-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 S. CONGRESS AVE",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334617469",
            "telephone_number": "561-649-9296",
            "fax_number": "561-649-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ARMANDO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "001739",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME109755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003999000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

Verify at the official NPI Registry.