DR. JORGE ANTONIO GONZALEZ JR. (NPI# 1427390137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427390137 |
| Entity Type | Individual |
| Full Name | DR. JORGE ANTONIO GONZALEZ JR. |
| Credential | M.D. |
| Practice Address |
17842 Nw 2nd St Pembroke Pines FL 33029-2806 |
| Practice Telephone | 9544309901 |
| Practice Fax Number | 9544300608 |
| Mailing Telephone | 9544309901 |
| Mailing Fax Number | 9544300608 |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2020-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME128315 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
ME128315 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 017619600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336668052 | Jorge L Gonzalez Sr. | Ambulance | 19 Calle Figueras Interseccion Calle Ermerinda Rivera, Jayuya, PR 00664 | 2017-09-13 |
| 1154756971 | Jorge Eduardo Gonzalez | Pharmacist | 7422 Gall Blvd, Zephyrhills, FL 33541-4310 | 2013-09-11 |
| 1366728057 | Jorge A Gonzalez | Nurse Practitioner | 300 Northwest Dr, Miami, FL 33126-4252 | 2011-10-26 |
| 1457651242 | Jorge Gonzalez | Licensed Practical Nurse | 6889 Nw 179th St Apt 305, Hialeah, FL 33015-7465 | 2010-10-26 |
| 1043533201 | Jorge Gonzalez | Massage Therapist | 346 Ashley Loop, Davenport, FL 33837-8820 | 2010-03-02 |
| 1497077515 | Jorge Valenciano Gonzalez | Social Worker | 1403 Lookout, Edinburg, TX 78541-2308 | 2010-02-16 |
| 1265687610 | Jorge Nelson Gonzalez | Speech-Language Pathologist | 560 W 43rd St Apt 18h, New York, NY 10036-4313 | 2008-11-26 |
| 1770737603 | Jorge L Gonzalez | Community Health Worker | 8425 Nw 8th St, 403, Miami, FL 33126-3769 | 2008-11-05 |
| 1528215472 | Jorge R. Gonzalez | Psychologist | 23370 Rd 22, Chowchilla, CA 93610-1501 | 2008-08-22 |
| 1366567539 | Jorge R Gonzalez | Dentist | 1301 E Us Highway 83, Mcallen, TX 78501 | 2007-03-20 |
| Street Address |
17842 NW 2ND ST |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33029-2806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154391407 | Fernando Antonio Moya-huff | Orthopaedic Surgery | 17842 Nw 2nd St, Pembroke Pines, FL 33029 | 2006-01-26 |
| 1497211742 | Brynn Sakell | Physical Therapy Assistant | 17842 Nw 2nd St, Pembroke Pines, FL 33029-2806 | 2019-02-12 |
| 1912318924 | Megan Phillips | Physical Therapy Assistant | 17842 Nw 2nd St, Pembroke Pines, FL 33029-2806 | 2014-05-13 |
| 1346674546 | Benjamin Richard Kores | Physical Therapist | 17842 Nw 2nd St, Pembroke Pines, FL 33029-2806 | 2013-08-25 |
| 1366789463 | Irene De Jesus De Sousa | Physical Therapist | 17842 Nw 2nd St, Pembroke Pines, FL 33029-2806 | 2013-01-09 |
| 1356627285 | Belinda Mercedes Lepervanche | Physical Therapist | 17842 Nw 2nd St, Pembroke Pines, FL 33029-2806 | 2011-10-24 |
| 1659678381 | Kay-ann Mullings | Physician Assistant | 17842 Nw 2nd St, Pembroke Pines, FL 33029-2806 | 2011-02-15 |
| 1265668693 | Stephanie Rasbury Sapp | Physician Assistant | 17842 Nw 2nd St, Pembroke Pines, FL 33029-2806 | 2009-05-29 |
| 1720246564 | Desimone and Moya Md Pa | Physician Assistant | 17842 Nw 2nd St, Pembroke Pines, FL 33029-2806 | 2008-05-29 |
| 1346423654 | Foot, Ankle & Leg Specialists | Non-Pharmacy Dispensing Site | 17842 Nw 2nd St, Pembroke Pines, FL 33029-2806 | 2007-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407418981 | Whole Life Distributors | Clinical Nurse Specialist | 1055 Nw 187th Avenue, Pembroke Pines, FL 33029 | 2019-07-03 |
| 1295215507 | Rise N Shine Pharmacy Inc | Pharmacy | 17913 Nw 7 Street, Suite 104, Pembroke Pines, FL 33029 | 2018-08-16 |
| 1124505631 | Ivabella Alexandre | Nurse Practitioner | 17590 Sw 29th Ct, Miramar, FL 33029 | 2018-07-26 |
| 1346735883 | Ally Suzanne Montero | Specialist/Technologist | 18549 Sw 50th Ct, Miramar, FL 33029 | 2018-06-27 |
| 1386144046 | Alfonso Chie | Chiropractor | 18249 Pines Blvd, Pembroke Pines, FL 33029 | 2018-02-19 |
| 1316454960 | Danay Rodriguez-arritola | Registered Nurse | 1501 Sw 186 Ave, Pembroke Pines, FL 33029 | 2018-01-04 |
| 1316456528 | Orestes Mederos | Student in an Organized Health Care Education/Training Program | 17429 Sw 54 St, Miramar, FL 33029 | 2017-09-20 |
| 1508389644 | Konfetti Kidz Therapy | Occupational Therapy Assistant | 17901 Nw 5th St Ste 201, Pembroke Pines, FL 33029 | 2017-07-20 |
| 1215458765 | Nilien Cruz Palenzuela | Behavior Technician | 18024 Nw 21st St, Pembroke Pines, FL 33029 | 2017-07-05 |
| 1033650288 | Best Onsite Therapy Services, Inc. | Home Health | 18541 Sw 43rd Street, Miramar, FL 33029 | 2017-03-20 |
| Find all providers in zip 33029 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033718 | Greenacres Health & Rehab LLC | Internal Medicine | 4010 S 57th Ave Ste 101, Greenacres, FL 33463-4301 | 2020-08-16 |
| 1205218070 | Atlas Medical and Orthopedics | Internal Medicine | 6864 Forest Hill Blvd, Suite B, Greenacres, FL 33413-3339 | 2015-06-29 |
| 1477854370 | Medfit, LLC | Internal Medicine | 9510 Corkscrew Palms Cir Ste 1, Estero, FL 33928-3308 | 2010-11-08 |
| 1447338587 | Kenneth P Barnes | Internal Medicine | The University of Miami Sports Medicine Institute, 5555 Ponce De Leon Blvd., 3rd Floor, Coral Gables, FL 33146 | 2006-11-02 |
| 1760429989 | Chris Kunis | Internal Medicine | 2102 Sw 20th Pl Bldg 100, Ocala, FL 34471-0856 | 2006-05-31 |
| 1932731684 | Shane Thomas Stockelman | Internal Medicine | 3334 Capital Medical Blvd, Tallahassee, FL 32308-8405 | 2020-02-11 |
| 1700434537 | Tri-county Regenerative Medicine, LLC | Internal Medicine | 1848 N Nob Hill Rd, Plantation, FL 33322-6548 | 2019-08-26 |
| 1730575044 | Reza Alavi | Internal Medicine | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0915 | 2015-04-13 |
| 1780076695 | Boca Sports Therapy Inc | Internal Medicine | 851 Meadows Rd, Ste 212, Boca Raton, FL 33486-2348 | 2015-03-02 |
| 1962799213 | Pga Chiropractic Health Center Pa | Internal Medicine | 10800 N Military Trl, Ste # 111, Palm Beach Gardens, FL 33410-6500 | 2011-07-07 |
| Find all providers with the same taxonomy | ||||
| City | PEMBROKE PINES |
| Zip Code | 33029 |
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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.