Misael Gonzalez MD P a

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME80610 Issued in FL

Legal business name

MISAEL GONZALEZ MD P A

Practice address

760 Ponce de Leon Blvd Ste 107a
Coral Gables, FL 33134-2076

Phone

(305) 967-8311

Fax

(305) 967-8506

NPI assigned

Jul 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Misael Gonzalez, MD

Title

President

Phone

(305) 967-8311

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1932455904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 PONCE DE LEON BLVD, SUITE 107A",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342076",
            "telephone_number": "305-967-8311",
            "fax_number": "305-967-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 PONCE DE LEON BLVD STE 107A",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342076",
            "telephone_number": "305-967-8311",
            "fax_number": "305-967-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISAEL GONZALEZ MD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MISAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-967-8311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME80610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mirtha Amador, DMD, PA
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• Kanchan Mishra, M.D.
• Maikel Mitchel, APRN
• Kieth Allen Mitchell, LMHC
• Linda Diane Mitchell, LCSW

• General Practice Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; 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.