Active NPI
Enrique Agustin Gonzalez-Pujol, M.D.
- Family Medicine Physician
- Miami, FL
National Provider Identifier
1992770663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 207Q00000X
- Practice address
- 5941 NW 173Rd Dr
6
Miami, FL 33015-5109 - Phone
- (305) 705-3014
- Fax
- (305) 873-6173
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 207Q00000X | FL | Primary |
Addresses
Primary practice location
5941 NW 173Rd Dr
6
Miami, FL 33015-5109
Mailing address
5941 NW 173Rd Dr
6
Miami, FL 33015-5109
Phone (305) 705-3014
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042158800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207Q00000X | FL | MD | Family Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuropain and Wellness, LLC | Current | Accepting new patients | |
| Peraza Medical Center, Inc. | Past | Accepting new patients | |
| Gary L. Heller, D.O., L.L.C. | Past | Accepting new patients |
Locations
1403 W Boynton Beach Blvd
Ste 13
Boynton Beach, FL 33426
Phone (561) 374-7437
8480 W State Road 84
Davie, FL 33324
Phone (954) 577-0177
Organizations & group practices 3
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.
-
- Pain Medicine Physician
- Boynton Beach, FL
- NPI 1710671334
-
- Dermatology Physician
- Pinellas Park, FL
- NPI 1730391863
-
- General Practice Physician
- Miami, FL
- NPI 1205878063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292371200000",
"number": "1992770663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5941 NW 173RD DR",
"address_2": "6",
"city": "MIAMI",
"state": "FL",
"postal_code": "330155109",
"telephone_number": "305-705-3014",
"fax_number": "305-873-6173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5941 NW 173RD DR",
"address_2": "6",
"city": "MIAMI",
"state": "FL",
"postal_code": "330155109",
"telephone_number": "305-705-3014",
"fax_number": "305-873-6173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ-PUJOL",
"first_name": "ENRIQUE",
"middle_name": "AGUSTIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2010-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "207Q00000X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "042158800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.