DR. LEONCIO V GONZALEZ (NPI# 1356333900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356333900 |
| Entity Type | Individual |
| Full Name | DR. LEONCIO V GONZALEZ |
| Credential | OD |
| Practice Address |
11760 Bird Rd Suite 101 Miami FL 33175-3549 |
| Practice Telephone | 3052208333 |
| Practice Fax Number | 3052201971 |
| Mailing Telephone | 3052208333 |
| Mailing Fax Number | 3052201971 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2010-08-04 |
| NPI Deactivation Date | 03/23/2006 |
| NPI Reactivation Date | 2006-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OP2772 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 620109100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366617987 | Leoncio G Gonzalez | General Practice | 400 W Blackwell St, St Clares Hospital, Dover, NJ 07801 | 2008-04-24 |
| Street Address |
11760 BIRD RD SUITE 101 |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-3549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790160265 | Dahdah Medical Group, Inc | Internal Medicine | 11760 Bird Rd, Suite 622a, Miami, FL 33175-3582 | 2015-07-27 |
| 1407252885 | Yanette Barcelo | Physician Assistant | 11760 Bird Rd, Suite 451, Miami, FL 33175-3582 | 2014-11-12 |
| 1548679731 | Lawnwood Healthcare Specialists LLC | Nurse Practitioner | 11760 Bird Rd, Suite 722, Miami, FL 33175-3582 | 2014-08-13 |
| 1043654122 | Fxm Research International, Inc | Clinic/Center | 11760 Bird Rd, Suite 452, Miami, FL 33175-3582 | 2013-04-19 |
| 1720421050 | Fxm Research Corporation | Clinic/Center | 11760 Bird Rd, Suite 452, Miami, FL 33175-3582 | 2013-04-17 |
| 1629371695 | Leoncio V Gonzalez Od Pa | Eyewear Supplier (Equipment, not the service) | 11760 Bird Rd, Suite 101, Miami, FL 33175-3582 | 2010-12-14 |
| 1578866042 | Elba Ines Pabon | Nurse Practitioner | 11760 Bird Rd, Suite 722, Miami, FL 33175-3582 | 2010-12-06 |
| 1316268337 | Gastrointestinal Specialists of Miami Inc | Internal Medicine | 11760 Bird Rd, Suite 642, Miami, FL 33175-3582 | 2010-06-14 |
| 1982922811 | Osman Roman Wever | Specialist/Technologist, Other | 11760 Bird Rd, Suite 722, Miami, FL 33175-3582 | 2010-05-17 |
| 1609003318 | Raymond Rodriguez | Nurse Practitioner | 11760 Bird Rd, Suite 722, Miami, FL 33175-3582 | 2009-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885965 | Kevin Bernardo Gonzalez | Behavior Technician | 11895 Sw 37 St, Miami, FL 33175 | 2020-06-11 |
| 1619509106 | Gladysbel Lorenzo | Nurse Practitioner | 11740 Sw 42st, Miami, FL 33175 | 2020-02-12 |
| 1154885200 | Vanessa Arzola Dmd Pa and Associates | Clinic/Center | 13419 Sw 56th Street, Miami, Miami, FL 33175 | 2019-01-23 |
| 1588145932 | Mailen Gonzalez | Nurse Practitioner | 12294 Sw 29 Ter, Miami, FL 33175 | 2018-08-23 |
| 1639655350 | Carolina Marie Trueba | Behavior Technician | 12825 Sw 49th Terr, Miami, FL 33175 | 2018-07-16 |
| 1033611504 | Joan Coro | Behavior Technician | 12905 Sw 42nd St Suite 219, Miami, FL 33175 | 2018-03-01 |
| 1417456864 | Ignacio Alzugaray | Nurse Practitioner | 12317 Sw 20th Ter, Miami, FL 33175 | 2018-02-12 |
| 1215436993 | Desiree Rengifo-glasgow | Nurse Practitioner | 11865 Sw 26th St Ste J2, Miami, FL 33175 | 2018-02-07 |
| 1639678691 | Behavior Professional Consultants Corp. | Community/Behavioral Health | 2460 Sw 137th Ave 242, Miami, FL 33175 | 2018-02-06 |
| 1992204291 | Humberto Lorenzo Paez | Nurse Practitioner | 4205 Sw 136th Place, Miami, FL 33175 | 2018-02-02 |
| Find all providers in zip 33175 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353167 | Sherri Rockower Od Ms Pa | Optometrist | 3675 Sw 24th St, Miami, FL 33145-3001 | 2020-07-08 |
| 1104440437 | Sahar Eltalla | Optometrist | 1670 Ne 185th St, Miami, FL 33179-4900 | 2020-06-02 |
| 1275164238 | Madelyn Diaz | Optometrist | 7000 Sw 97th Ave Ste 203, Miami, FL 33173-1492 | 2020-01-29 |
| 1417588658 | Jacqueline Zapata | Optometrist | 1097 S Lejeune Rd, Miami, FL 33134-2639 | 2020-01-27 |
| 1205471687 | Senia V Bustillo Od Pa | Optometrist | 8765 Sw 165th Avenue, Suite 107, Miami, FL 33193 | 2019-11-09 |
| 1457904765 | Melissa Otero | Optometrist | 1436 Sw 14th Ter, Miami, FL 33145-1543 | 2019-07-17 |
| 1700445772 | Amanda Reyes | Optometrist | 8485 Sw 40th St Ste 103, Miami, FL 33155-3262 | 2019-06-12 |
| 1972072494 | Buena Vista Vision Club, Inc | Optometrist | 13780 Sw 26th St Ste 201, Miami, FL 33175-6302 | 2018-11-14 |
| 1134602014 | Coralys Galloza Bonilla | Optometrist | 920 Sw 67th Ave, Miami, FL 33144-4761 | 2018-09-07 |
| 1558847608 | Public Eye Optical, Pa | Optometrist | 537 Sw 12th Ave, Miami, FL 33130-2413 | 2018-07-12 |
| 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.