OBDULIO GONZALEZ MATA
NPI 1164138426
Counselor - Mental Health in Coral Gables, FL

Active since January 30, 2023PECOS EnrolledAccepts Medicare Assignment
4649 PONCE DE LEON BLVD STE 404, CORAL GABLES, FL 33146(786) 536-9714 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 7, 2024, Jan 30, 2023 (2 updates tracked since 2023).

About Obdulio Gonzalez Mata NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OBDULIO GONZALEZ MATA (NPI 1164138426) is an individual mental health provider in Coral Gables, Florida and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1164138426
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameOBDULIO GONZALEZ MATA
Location Address4649 PONCE DE LEON BLVD STE 404Coral Gables, FL 33146-2121
Mailing Address4600 Sw 160th Ave Apt 622Miramar, FL 33027-5770 · (195) 455-4872
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 30, 2023
Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
NPI 1164138426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4649 PONCE DE LEON BLVD STE 404, Coral Gables, FL 33146

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Obdulio Gonzalez Mata is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587103403
PECOS Enrollment IDI20240823000535
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
4649 PONCE DE LEON BLVD STE 404
CORAL GABLES, FL 33146
Social Worker
4649 PONCE DE LEON BLVD STE 404
CORAL GABLES, FL 33146
Counselor (Mental Health)
4649 PONCE DE LEON BLVD STE 404
CORAL GABLES, FL 33146
Social Worker
4649 PONCE DE LEON BLVD STE 404
CORAL GABLES, FL 33146
Counselor (Mental Health)
4649 PONCE DE LEON BLVD STE 404
CORAL GABLES, FL 33146
Social Worker
4649 PONCE DE LEON BLVD STE 404
CORAL GABLES, FL 33146
Counselor (Mental Health)
4649 PONCE DE LEON BLVD STE 404
CORAL GABLES, FL 33146
Counselor (Mental Health)
4649 PONCE DE LEON BLVD STE 404
CORAL GABLES, FL 33146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Obdulio Gonzalez Mata's NPI number?

The NPI number for Obdulio Gonzalez Mata is 1164138426. It was assigned to this individual provider in the NPPES registry on January 30, 2023.

Where is Obdulio Gonzalez Mata located?

Obdulio Gonzalez Mata practices at 4649 Ponce De Leon Blvd Ste 404, Coral Gables, FL 33146. The listed phone number is (786) 536-9714.

What is Obdulio Gonzalez Mata's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Obdulio Gonzalez Mata enrolled in Medicare?

Yes. Obdulio Gonzalez Mata is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Obdulio Gonzalez Mata accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Obdulio Gonzalez Mata as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Obdulio Gonzalez Mata was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.