ARIEL GONZALEZ MD
NPI 1740844653
General Practice in Live Oak, FL

Q: What is Ariel Gonzalez's NPI number?

The NPI number for Ariel Gonzalez is 1740844653. It was assigned to this individual provider in the NPPES registry on April 25, 2019.

Q: What is Ariel Gonzalez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ariel Gonzalez was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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 April 25, 2019PECOS Enrolled

5964 US HIGHWAY 90, LIVE OAK, FL 32060(386) 963-6685(386) 963-6377 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2024, Aug 8, 2024, Apr 25, 2019 (3 updates tracked since 2019).

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About Ariel Gonzalez Md NPPES

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

ARIEL GONZALEZ MD (NPI 1740844653) is an individual general practice provider in Live Oak, Florida, licensed in Florida (ACN1652) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Juan.

NPPES Registry Identity

NPI1740844653

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameARIEL GONZALEZCredential: MD

Location Address5964 US HIGHWAY 90Live Oak, FL 32060

Mailing Address1739 Sw 67th CirGainesville, FL 32607 · (651) 600-6198

Phone(386) 963-6685

Fax(386) 963-6377

Sole ProprietorYes

Enumeration DateApril 25, 2019

Last NPPES UpdateSeptember 13, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2024

✔ NPI 1740844653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Licenses✔ Licensed in FL · ACN1652✔ Licensed in PR · 023893

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

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5964 US HIGHWAY 90, Live Oak, FL 32060

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Secondary Practice Location 1

Location 1342 Calle San LuisSan Juan, PR 00920-1623 · Phone (787) 705-5634

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ariel 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.

Other Providers at the Same Location NPPES 5

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

MRS. NICOLE MARIA COOKE PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)