Individual provider Active NPI

Edward Gonzalez, D.P.M,

  • Podiatrist
  • Miami, FL
National Provider Identifier
1912217936
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3451 Issued in FL
Practice address
330 SW 27TH Ave
Suite 403
Miami, FL 33135-2961
Phone
(305) 517-3771
NPI assigned
Oct 8, 2010
Last updated
Oct 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3451 FL Primary

Addresses

Primary practice location

330 SW 27TH Ave
Suite 403
Miami, FL 33135-2961

Mailing address

PO Box 430764
South Miami, FL 33243-0764
Phone (305) 301-0005

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110318000116 FL Practitioner - Podiatry 7416139217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lower Extremity Care, L.L.C.Group PAC ID 6800078692, 2 clinicians

Practice addresses (Care Compare)

330 SW 27TH Ave
Suite 403
Miami, FL 33135-2967
Phone (305) 517-3771

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue61
Removal of nail tissue1809
Removal or shaving of skin growth407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Physician Resource, LLC CurrentSince Jun 7, 2023 Accepting new patients
Lower Extremity Care, L.L.C. Podiatrist CurrentSince Jan 2, 2011 Accepting new patients
Retreat Medical Center LLC CurrentSince Aug 23, 2025 Accepting new patients
Florida Physician Resource Network, LLC Current Accepting new patients

Locations

1818 W Flagler St
Miami, FL 33135
Phone (754) 208-9566

1818 W Flagler St
Ste 300
Miami, FL 33135
Phone (786) 755-2891

330 SW 27th Ave
Ste 403
Miami, FL 33135
Phone (305) 517-3771

928 SW 82nd Ave
Miami, FL 33144
Phone (305) 237-8376

6400 Davis Blvd
Ste 103
Naples, FL 34104
Phone (239) 304-0054

Interoperability endpoints

  • Direct secure messaging: edward.gonzalez.p1@direct.caremax.nextgenshare.com
  • Direct secure messaging: edward.gonzalez.p1@direct.vivamasmedical.nextgenshare.com

Organizations & group practices 5

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": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1912217936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430764",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "332430764",
            "telephone_number": "305-301-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SW 27TH AVE",
            "address_2": "SUITE 403",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352961",
            "telephone_number": "305-517-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.P.M,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-08",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.