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MARISELA GONZALEZ M.D.P.A.
NPI 1275836330
General Practice in Miami, FL

Active since December 13, 2010CLIA 10D2240242 · Waiver
2780 SW 87TH AVE, SUITE 100, MIAMI, FL 33165(305) 220-3700(305) 220-9002 Get Directions Write a Review

NPPES record last updated: December 13, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marisela Gonzalez M.d.p.a. NPPES

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

MARISELA GONZALEZ M.D.P.A. (NPI 1275836330) is a healthcare organization registered as a general practice in Miami, Florida and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through October 17, 2027 and lists Marisela Gonzalez, President/sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1275836330
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMARISELA GONZALEZ M.D.P.A.
Location Address2780 SW 87TH AVE, SUITE 100Miami, FL 33165-3296
Mailing Address2780 Sw 87th Ave, Suite 100Miami, FL 33165-3296 · (305) 220-3700 · Fax (305) 220-9002
Phone(305) 220-3700
Fax(305) 220-9002
Organization SubpartNo
Authorized OfficialMarisela GonzalezPresident/sole Proprietor · (305) 220-3700
Enumeration DateDecember 13, 2010
✔ NPI 1275836330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME59833
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2780 SW 87TH AVE, Miami, FL 33165
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marisela Gonzalez M.d.p.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Marisela Gonzalez M.D.P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Marisela Gonzalez, M.D.
General Practice
NPI 1679500037
7171 CORAL WAY SUITE 201
Miami, FL 33155
(305) 220-3700
✔ PECOS1.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2240242

Marisela Gonzalez MD PA · Miami, FL
Active · expires Oct 17, 2027
CLIA Number10D2240242
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2025
Certificate Expiration DateOctober 17, 2027
Laboratory DirectorMarisela Gonzalez
Laboratory Phone(305) 220-3700
Laboratory LocationMarisela Gonzalez MD PA7171 Coral Way Suite #201, Miami, FL 33155
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Marisela Gonzalez M.D.P.A.'s NPI number?

The NPI number for Marisela Gonzalez M.D.P.A. is 1275836330. It was assigned to this organization in the NPPES registry on December 13, 2010.

Where is Marisela Gonzalez M.D.P.A. located?

Marisela Gonzalez M.D.P.A. is located at 2780 SW 87th Ave Suite 100, Miami, FL 33165. The listed phone number is (305) 220-3700.

What is Marisela Gonzalez M.D.P.A.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Marisela Gonzalez M.D.P.A. enrolled in Medicare?

Yes. Marisela Gonzalez M.D.P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Marisela Gonzalez M.D.P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Marisela Gonzalez M.D.P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Marisela Gonzalez M.D.P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2240242) is associated with this NPI, valid through October 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marisela Gonzalez M.D.P.A. was last updated on December 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.