Active NPI
Edward Gonzalez, D.P.M,
- Podiatrist
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO3451
- 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, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
330 SW 27TH Ave
Suite 403
Miami, FL 33135-2967
Phone (305) 517-3771
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 61 |
| Removal of nail tissue | 1809 |
| Removal or shaving of skin growth | 407 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Physician Resource, LLC | Current | Accepting new patients | |
| Lower Extremity Care, L.L.C. | Podiatrist | Current | Accepting new patients |
| Retreat Medical Center LLC | Current | 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
- edward.gonzalez.p1@direct.caremax.nextgenshare.com
- 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.
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- Miami, FL
- NPI 1184925521
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- Endocrinology, Diabetes & Metabolism Physician
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- NPI 1194541821
-
- Clinic/Center
- Miami, FL
- NPI 1922701903
-
- Foot & Ankle Surgery Podiatrist
- Cape Coral, FL
- NPI 1508312687
-
- Primary Care Clinic/Center
- Miami, FL
- NPI 1003504531
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.