Menayra C Gonzalez-Olivares, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME66671 Issued in FL

Practice address

710 Alton Rd
Miami Beach, FL 33139-5504

Phone

(305) 538-8835

Fax

(305) 532-5766

NPI assigned

Jan 18, 2007

Last updated

Sep 9, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Miami Beach Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Miami Beach, FL
  • NPI 1063411874
  Medicare reassignment NPD
• Miami Beach Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1053780734
  NPD
• Miami Beach Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1164843769
  NPD

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1942352729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4482 FOXTAIL LN",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313847",
            "telephone_number": "954-217-0144",
            "fax_number": "305-217-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331395504",
            "telephone_number": "305-538-8835",
            "fax_number": "305-532-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-OLIVARES",
        "first_name": "MENAYRA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME66671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377017600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manuel Gonzalez Cruz, MD
• Diana Marie Gonzalez Perez, ARNP
• Hernando J Gonzalez Quiros, M.D.
• Emigdia Gonzalez Robaina
• Lisa Christina Gonzalez-Alpizar
• Alberto Gonzalez Jr., CRNA DNP
• Amanda Gonzalez, APRN
• Edwin Enmanuel Gonzalez, CRNA
• Giselmi Gonzalez
• Jesus Gonzalez Jr., M.D.

• Pediatrics Physician in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.