JEFFREY GONZALEZ MD
NPI 1699623892
Student in an Organized Health Care Education/Training Program in Miami, FL

Q: What is Jeffrey Gonzalez's NPI number?

The NPI number for Jeffrey Gonzalez is 1699623892. It was assigned to this individual provider in the NPPES registry on March 21, 2026.

Q: What is Jeffrey Gonzalez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Gonzalez was last updated on March 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since March 21, 2026PECOS Enrolled

11750 SW 40TH ST, MIAMI, FL 33175(305) 485-4677 Get Directions Write a Review

NPPES record last updated: March 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jeffrey Gonzalez Md NPPES

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

JEFFREY GONZALEZ MD (NPI 1699623892) is an individual student in an organized health care education/training program in Miami, Florida and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699623892

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJEFFREY GONZALEZCredential: MD

Location Address11750 SW 40TH STMiami, FL 33175-3530

Mailing AddressPo Box 830612Miami, FL 33283-0612

Phone(305) 485-4677

Sole ProprietorNo

Enumeration DateMarch 21, 2026

NPPES CertifiedMarch 20, 2026

✔ NPI 1699623892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

11750 SW 40TH ST, Miami, FL 33175

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Gonzalez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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Other Providers at the Same Location NPPES 20

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

JACKLYN REYES PANCRUDO D.O.

Internal Medicine (Critical Care Medicine)