Individual provider Active NPI

Abelsain Gonzalez Davila, DC

  • Chiropractor
  • Rockledge, FL
National Provider Identifier
1942934005
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14147 Issued in FL
Practice address
760 Barnes Blvd # 101-102
Rockledge, FL 32955-5423
Phone
(321) 735-8102
NPI assigned
Jul 14, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14147 FL Primary

Addresses

Primary practice location

760 Barnes Blvd # 101-102
Rockledge, FL 32955-5423

Mailing address

760 Barnes Blvd Ste 102
Rockledge, FL 32955-5314
Phone (321) 735-8102

Other names 1

  • Dr. Abelsain Gonzalez Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drabelsain@innerhealing.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230405002822 FL Practitioner - Chiropractic 2264807221 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastline Family Chiropractic Melbourne LLCGroup PAC ID 9335593474, 2 clinicians

Practice addresses (Care Compare)

3980 Sarno Rd
Suite 102
Melbourne, FL 32934-7238
Phone (321) 610-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14147FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Coastline Family Chiropractic Melbourne LLC Chiropractor CurrentSince Jul 26, 2023 Accepting new patients
Hurley Health Center LLC Chiropractor CurrentSince Mar 1, 2023 Accepting new patients

Locations

3980 Sarno Rd
Unit 102
Melbourne, FL 32934
Phone (321) 610-3000

4087 US Highway 1
Unit 102
Rockledge, FL 32955
Phone (484) 707-2385

Organizations & group practices 2

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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1942934005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 BARNES BLVD STE 102",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555314",
            "telephone_number": "321-735-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 BARNES BLVD # 101-102",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555423",
            "telephone_number": "321-735-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ DAVILA",
        "first_name": "ABELSAIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drabelsain@innerhealing.com",
            "affiliation": "N",
            "endpointDescription": "professional email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "760 Barnes Blvd # 101-102",
            "city": "Rockledge",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329555423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ABELSAIN",
            "last_name": "GONZALEZ",
            "prefix": "DR.",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.