LEONCIO V GONZALEZ OD PA (NPI# 1629371695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629371695 |
| Entity Type | Organization |
| Organization Name | LEONCIO V GONZALEZ OD PA |
| Practice Address |
11760 Bird Rd Suite 101 Miami FL 33175-3582 |
| Practice Telephone | 3052208333 |
| Practice Fax Number | 3052201971 |
| Mailing Telephone | 3052208333 |
| Mailing Fax Number | 3052201971 |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2011-09-28 |
| Authorized Official Name | DR. LEONCIO V GONZALEZ (OPTOMETRIST) |
| Authorized Official Telephone | 3052208333 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | OP 2772 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DME | 1138160001 | 01 |
| FL | 620109100 | 05 |
| Street Address |
11760 BIRD RD SUITE 101 |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-3582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356333900 | Leoncio V Gonzalez | Optometrist | 11760 Bird Rd, Suite 101, Miami, FL 33175-3549 | 2005-08-19 |
| 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 |
| 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 | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363327 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 7050 Coral Way, Miami, FL 33155-1603 | 2020-10-14 |
| 1689272817 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 16200 Sw 88th St, Miami, FL 33196-4941 | 2020-10-10 |
| 1497361794 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 7007 Sw 117th Ave, Miami, FL 33183-2817 | 2020-09-22 |
| 1487290755 | Pinecrest Vision Center, Inc. | Eyewear Supplier (Equipment, not the service) | 7880 Sw 104th St # A106, Miami, FL 33156-2631 | 2019-11-21 |
| 1932740750 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4052 Ne 1st Ave, Miami, FL 33137-3600 | 2019-10-02 |
| 1902398712 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3403 Main Hwy, Miami, FL 33133-5915 | 2018-06-06 |
| 1124526124 | Eye Fashion Optical Inc | Eyewear Supplier (Equipment, not the service) | 285 Nw 27th Ave Ste 8, Miami, FL 33125-5132 | 2018-01-25 |
| 1831616184 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 215 Nw 25th St, Miami, FL 33127-4329 | 2017-08-28 |
| 1063895787 | Value Rx Lab Inc | Eyewear Supplier (Equipment, not the service) | 7331 Nw 66th St, Miami, FL 33166-3009 | 2015-06-30 |
| 1598145716 | Gables Optical Services, Inc | Eyewear Supplier (Equipment, not the service) | 1712 Sw 57th Ave, Miami, FL 33155-2137 | 2015-06-03 |
| 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.