Individual provider Active NPI

Enrique Agustin Gonzalez-Pujol, M.D.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1992770663
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
207Q00000X Issued in FL
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

Updated by the provider on Dec 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
042158800MedicaidFL

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

LicenseStateTypeSpecialty
207Q00000XFLMDFamily Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropain and Wellness, LLC CurrentSince Jun 11, 2023 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.

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.

Verify at the official NPI Registry.