Individual provider Active NPI

Onedo Ricardo Herrera Gonzalez, M.D.

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1932567567
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN950 Issued in FL
Practice address
3448 NW 79TH St
Miami, FL 33147-4602
Phone
(855) 226-6633
NPI assigned
Feb 10, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 19252 PR
General Practice Physician 208D00000X ACN950 FL Primary

Addresses

Primary practice location

3448 NW 79TH St
Miami, FL 33147-4602

Mailing address

950 SW 57TH Ave Apt 539
West Miami, FL 33144-5092
Phone (786) 660-9377

Other practice location 1

1479 NW 27th Ave
Miami, FL 33125-2133
Phone (305) 633-3776

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
I20181002002085 FL Practitioner - General Practice 3779880679

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN950FLMDGeneral Practice Physician
19252PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1932567567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 SW 57TH AVE APT 539",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445092",
            "telephone_number": "786-660-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 NW 79TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331474602",
            "telephone_number": "855-226-6633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1479 NW 27th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331252133",
            "country_code": "US",
            "telephone_number": "305-633-3776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRERA GONZALEZ",
        "first_name": "ONEDO",
        "middle_name": "RICARDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19252",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.