Individual provider Active NPI

Misael Gonzalez, MD

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1922017813
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME80610 Issued in FL
Practice address
2945 SW 8TH St
Miami, FL 33135-2826
Phone
(786) 577-5470
Fax
(786) 717-5844
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME80610 FL Primary

Addresses

Primary practice location

2945 SW 8TH St
Miami, FL 33135-2826

Mailing address

2945 SW 8TH St
Miami, FL 33135-2826
Phone (786) 577-5470

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
I20040726000296 FL Practitioner - General Practice 6709866106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME80610FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeway Programs Inc Past Accepting new patients
X-Ray Technology Enterprise Inc. Past Accepting new patients
Vega Health Center Inc PastSince May 8, 2022 Accepting new patients
Physicians Associates, LLC. Past Accepting new patients

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922017813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352826",
            "telephone_number": "786-577-5470",
            "fax_number": "786-717-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352826",
            "telephone_number": "786-577-5470",
            "fax_number": "786-717-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MISAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME80610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.