SAMANTHA MARIE GONZALEZ (NPI# 1306189469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306189469 |
| Entity Type | Individual |
| Full Name | SAMANTHA MARIE GONZALEZ |
| Credential | M.D. |
| Practice Address |
1611 Nw 12th Ave Miami FL 33136-1005 |
| Mailing Address |
1611 Nw 12th Ave Central Building Room 600-d Miami FL 33136-1005 |
| Practice Telephone | 3055855954 |
| Practice Fax Number | 3055857381 |
| Mailing Telephone | 3055855954 |
| Mailing Fax Number | 3055857381 |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2017-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME131726 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | FL | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275038986 | Samantha Gonzalez | Behavior Technician | 5060 California Ave Ste 610, Bakersfield, CA 93309-7073 | 2018-03-26 |
| 1982106829 | Samantha Gonzalez | Behavior Technician | 3450 Nw 85th Ct Apt 638, Doral, FL 33122-1956 | 2018-03-07 |
| 1316459704 | Samantha Denea Gonzalez | Nurse Practitioner | 201 Oak Dr S Ste 203, Lake Jackson, TX 77566-5627 | 2017-10-25 |
| 1033637616 | Samantha Monique Gonzalez | Case Manager/Care Coordinator | 111 E St 12th, Ada, OK 74820 | 2017-09-05 |
| 1346798865 | Samantha Gonzalez | Speech-Language Pathologist | 120 Republican St Apt 409, Seattle, WA 98109-4749 | 2016-09-13 |
| 1699157495 | Samantha Gonzalez | Obstetrics & Gynecology | 7430 Barlite Blvd Ste 105, San Antonio, TX 78224 | 2015-06-29 |
| 1952969693 | Samantha Gonzalez | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2019-05-29 |
| 1083100515 | Samantha Gonzalez | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-07-09 |
| 1326543117 | Samantha Gonzalez | Behavior Technician | 182 El Dorado St, Monterey, CA 93940-3118 | 2018-03-26 |
| 1548769615 | Samantha Lynn Gonzalez | Behavior Technician | 10300 Sunset Dr Ste 114, Miami, FL 33173-3038 | 2018-02-05 |
| Street Address |
1611 NW 12TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33136-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740286251 | Karen Chitty | Emergency Medicine | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2005-06-21 |
| 1558968263 | Natalie Dinger | Nurse Practitioner | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-10-06 |
| 1306452057 | Ryan M Bukhari | Dentist | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-09-18 |
| 1467068155 | Hussien Touny | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-09-18 |
| 1912512310 | Clementina Aurora Cabrera | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-09-11 |
| 1184237265 | Kencya Toussaint | Nurse Practitioner | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-08-28 |
| 1568075976 | Manuel Molina | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-08-25 |
| 1063025468 | Carlos Federico Moral Ortega | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-08-25 |
| 1770195919 | Ezekiel Oluwasayo Ijaopo | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-08-19 |
| 1568070258 | Virosh Dharmadasa | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184187197 | Rosario Gely Md. Pa | Pediatrics | 8740 N Kendall Dr Ste 212, Miami, FL 33176-2221 | 2019-04-08 |
| 1619462991 | Palm Leaf Pediatrics | Pediatrics | 7300 Sw 93rd Ave Ste 210, Miami, FL 33173-3212 | 2018-06-28 |
| 1396239323 | Alixier Gonzalez Rivera | Pediatrics | 2151 Sw 82nd Ave, Miami, FL 33155-1236 | 2018-06-22 |
| 1962918730 | Gabrielle Koslovsky Schpilberg | Pediatrics | 1938 N Oak Haven Cir, Miami, FL 33179-2844 | 2017-12-15 |
| 1467988105 | Diana Abreu Molnar | Pediatrics | 2525 Sw 3rd Ave # Cu-1, Miami, FL 33129-2056 | 2017-05-01 |
| 1215311998 | Rudi-ann Tamara Graham | Pediatrics | 1444 Nw 14th Ave, Apartment 1107, Miami, FL 33125-1686 | 2015-07-13 |
| 1861887168 | Shari Williams | Pediatrics | 16401 Nw 2nd Ave Ste 202, Miami, FL 33169-6036 | 2015-04-02 |
| 1780077032 | Jose I. Pradere, M.d.,p.a. | Pediatrics | 815 Nw 57th Ave Ste 110, Miami, FL 33126-2041 | 2015-03-11 |
| 1902295934 | Claudia G Arango Md Pa | Pediatrics | 8525 Sw 92nd St Ste B7, Miami, FL 33156-7374 | 2015-01-14 |
| 1255733325 | Fernando Diez, Md | Pediatrics | 7805 Coral Way Ste 102, Miami, FL 33155-6539 | 2014-09-20 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.