JAVIER M GONZALEZ (NPI# 1689658809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689658809 |
| Entity Type | Individual |
| Full Name | JAVIER M GONZALEZ |
| Credential | MD |
| Practice Address |
910 Old Camp Rd Bldg 210 The Villages FL 32162-5604 |
| Mailing Address |
308 W Highland Blvd Inverness FL 34452-4716 |
| Practice Telephone | 3527513356 |
| Practice Fax Number | 3527513359 |
| Mailing Telephone | 3527268353 |
| Mailing Fax Number | 3527265038 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2013-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME83005 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS OF FL | 03015 | 01 |
| FL | MEDICARE RR GROUP | CF1416 | 01 |
| FL | MEDICARE GROUP ID | 77940 | 01 |
| FL | CAQH | 11319381 | 01 |
| FL | 263252700 | 05 | |
| FL | MEDICAID GROUP | 269859500 | 01 |
| FL | STATE LICENSE NUMBER | ME83005 | 01 |
| FL | BCBS GRP | 77940 | 01 |
| DE | CIGNA | 0405694 | 01 |
| FL | MEDICARE RR | 060065353 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508465972 | Javier Orlando Gonzalez | Clinical Nurse Specialist | 1206 Calle 62 Se, San Juan, PR 00921-3134 | 2020-10-18 |
| 1518341700 | Javier Gonzalez | Social Worker | 3810 Inverrary Blvd #404, Lauderhill, FL 33319 | 2015-07-17 |
| 1881994770 | Javier Gonzalez | Emergency Medicine | Hospital Episcopal San Lucas Ponce, Ave Tito Castro, Num. 917 Po Box 336810, Ponce, PR 00733 | 2010-10-26 |
| 1750512604 | Javier Gonzalez | Otolaryngology | 888 Ave Ashford, Apt 9, San Juan, PR 00907-1007 | 2009-07-27 |
| 1174661193 | Javier Estuardo Gonzalez | Dentist | 1830 S Tuttle Ave, Sarasota, FL 34239-3112 | 2007-02-02 |
| 1134217458 | Javier Hernando Gonzalez | Pediatrics | 3003 W Dr. Mlk Jr Blvd, 3rd Floor Mab; Ms# 3043, Tampa, FL 33607 | 2006-10-11 |
| 1528010212 | Javier G Gonzalez | Family Medicine | 226 W Bitters Rd, Ste 100, San Antonio, TX 78216-2072 | 2006-05-17 |
| 1134114978 | Javier R. Gonzalez | Family Medicine | 1194 Mariner Blvd, Spring Hill, FL 34609-5603 | 2005-09-19 |
| 1588657035 | Javier Antonio Gonzalez | Pediatrics | 1509 1st St, Rosenberg, TX 77471-3305 | 2005-08-30 |
| 1881227155 | Javier Gonzalez | Pharmacist | 9250 W Flagler St Ste 600, Miami, FL 33174-3460 | 2020-02-14 |
| Street Address |
910 OLD CAMP RD BLDG 210 |
| City | THE VILLAGES |
| State | FL |
| Zip Code | 32162-5604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073500088 | The Medicine Chest Inc | Durable Medical Equipment & Medical Supplies | 910 Old Camp Rd, Building #170, The Villages, FL 32162-5604 | 2005-10-04 |
| 1558808006 | Gina Alexander | Occupational Therapy Assistant | 910 Old Camp Rd, The Villages, FL 32162-5604 | 2017-01-23 |
| 1770035081 | Brian Kinsey | Nurse Practitioner | 910 Old Camp Rd, The Villages, FL 32162-5604 | 2016-11-03 |
| 1770032070 | Sinai Healthcare | Nurse Practitioner | 910 Old Camp Rd, Suite 144, The Villages, FL 32162-5604 | 2016-09-27 |
| 1598159576 | Rose Wellness Clinic LLC | Physical Therapist | 910 Old Camp Rd, Suite 92, The Villages, FL 32162-5604 | 2015-03-26 |
| 1962828749 | Fross Chiropractic | Chiropractor | 910 Old Camp Rd, Ste 92, The Villages, FL 32162-5604 | 2014-03-17 |
| 1003245721 | Chad Michael Rose | Chiropractor | 910 Old Camp Rd, Suite 92, The Villages, FL 32162-5604 | 2013-11-04 |
| 1093053647 | Donald Eugene Berisford | Pharmacist | 910 Old Camp Rd, Building # 170, The Villages, FL 32162-5604 | 2013-01-16 |
| 1366729402 | Cathy J Eagle | Nurse Practitioner | 910 Old Camp Rd, Bldg 210, The Villages, FL 32162-5604 | 2011-11-03 |
| 1255630471 | Lco Group, Pa | Clinic/Center | 910 Old Camp Rd, Building 10, Suite 112, The Villages, FL 32162-5604 | 2011-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831700939 | Lana Nesheiwat | Pharmacist | 2235 Parr Drive, Lady Lake, FL 32162 | 2020-08-12 |
| 1619591393 | Advanced Periodontics & Implant Care, LLC | Dentist | 1950 Laurel Manor Drive #184, The Villages, FL 32162 | 2020-05-29 |
| 1639719081 | Retirement Five, LLC | Skilled Nursing Facility | 16605 Se 74th Souiliere Ave, The Villages, FL 32162 | 2020-01-14 |
| 1184263261 | Eric William Allen | Pharmacist | Win Dixie Pharmacy #2545, 2500 Burnsed Blvd, The Villages, FL 32162 | 2020-01-06 |
| 1740828391 | Tara Maria Jennings Irwin | Physical Therapy Assistant | 11962 Cr 101 #104, The Villages, FL 32162 | 2019-12-13 |
| 1851819254 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 310 Longview Ave, Lady Lake, FL 32162 | 2017-09-06 |
| 1033642327 | Ben Miller | Specialist/Technologist | 251 Buffalo Trl, The Villages, FL 32162 | 2017-04-04 |
| 1932631173 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 620 Kristine Way, The Villages, FL 32162 | 2017-03-28 |
| 1639534522 | Pamela Marie Bureau | Registered Nurse | 1020 Lake Sumter Landing, The Villages, FL 32162 | 2015-12-21 |
| 1669847059 | Dawn Johnson | Dental Assistant | 8900 Mulberry Ln, The Villages, FL 32162 | 2015-12-10 |
| Find all providers in zip 32162 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1659671774 | Heart of The Villages Plc | Internal Medicine | 1149 Main Street, The Villages, FL 32159 | 2010-10-22 |
| 1710952486 | Georg Josef Couturier | Internal Medicine | 8575 Ne 138th Ln Ste 203, The Villages, FL 32159-8996 | 2006-02-17 |
| 1811983083 | Mark A Rothschild | Internal Medicine | 910 Old Camp Rd Ste 210, The Villages, FL 32162 | 2005-09-23 |
| 1215930334 | Robert Alan Skotnicki | Internal Medicine | 1400 N Us Highway 441, Suite 810, The Villages, FL 32159-8975 | 2005-05-23 |
| 1538456256 | Hassan Baydoun | Internal Medicine | 1050 Old Camp Rd Ste 270, The Villages, FL 32162 | 2011-07-01 |
| 1851625164 | Visali Kodali | Internal Medicine | 910 Old Camp Rd Ste 210, The Villages, FL 32162-5605 | 2009-09-21 |
| 1891996880 | Vinod R Miryala | Internal Medicine | 910 Old Camp Rd, Bldg 210, The Villages, FL 32162-5604 | 2007-05-29 |
| 1750492195 | Shrikanth Upadya | Internal Medicine | 1050 Old Camp Rd, Ste 270, The Villages, FL 32162-1762 | 2006-08-31 |
| 1760493563 | Robert L Herman | Internal Medicine | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 | 2006-08-10 |
| 1609847276 | Robert I Kersh | Internal Medicine | 1400 N Us Highway 441, Suite 810, The Villages, FL 32159-8975 | 2006-01-31 |
| Find all providers in THE VILLAGES | ||||
| City | THE VILLAGES |
| Zip Code | 32162 |
Please comment or provide details below to improve the information on JAVIER M GONZALEZ.
| 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.