Ivan Alberto Gonzalez
Pediatrics (Pediatric Infectious Diseases)

Address: 1580 N.w. 10th Avenue, Locator Code D4-4, Miami, FL 33136
Phone: 3052436522

Ivan Alberto Gonzalez (NPI# 1528281409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1528281409
Entity Type Individual
Full Name Ivan Alberto Gonzalez
Credential M.D.
Gender Male
Practice Address 1580 N.w. 10th Avenue, Locator Code D4-4
Miami
FL 33136
Practice Telephone 3052436522
Practice Fax Number 3052435562
Mailing Address 1580 N.w. 10th Avenue, Locator Code D4-4
Miami
FL 33136
Mailing Telephone 3052436522
Mailing Fax Number 3052435562
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-04-10
Last Update Date 2008-08-12

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2080P0208X Pediatrics · Pediatric Infectious Diseases Allopathic & Osteopathic Physicians ME 102105 FL

Providers with the same name

NPI Name Taxonomy Address Enumeration
1518512706 Ivan Gonzalez Non-emergency Medical Transport (VAN) 738 Sw 97th Court Cir, Miami, FL 33174-1987 2019-08-05
1962056010 Ivan Aldair Gonzalez Dentist 2215 W Fern Ave, Mcallen, TX 78501-6176 2019-07-26
1528533486 Ivan Gonzalez Case Manager/Care Coordinator 1600 E Belle Ter, Bakersfield, CA 93307-3871 2018-10-08
1467953323 Ivan Gonzalez Behavior Technician 5820 Oberlin Dr Ste 111, San Diego, CA 92121-3743 2018-02-26
1679925697 Ivan Gonzalez Pathology 660 S Euclid Ave, Campus Box 8118, Saint Louis, MO 63110-1010 2016-07-02
1376913434 Ivan Gonzalez Counselor 3316 W Beverly Blvd, Montebello, CA 90640-1537 2015-10-01
1578942884 Ivan Gonzalez Student in an Organized Health Care Education/Training Program 1260 E Woodland Ave, Suite 200, Springfield, PA 19064-3969 2015-05-20
1184013252 Ivan Gonzalez Psychologist 2817 Reilly Road, Womack Army Medical Center, Fort Bragg, NC 28310 2015-01-13
1568442838 Ivan Gonzalez Podiatrist 18710 Linden Blvd, Saint Albans, NY 11412-4026 2006-01-20

Physician Overview

NPI 1528281409
PAC ID by PECOS 7719042589
Professional Enrollment ID I20090210000744
Full Name Ivan A Gonzalez
Organization Legal Name UNIVERSITY OF MIAMI
Phone Number 3052434029
Gender M
Medical School UMDNJ NEW JERSEY SCHOOL OF OSTEO MEDICINE
Graduation Year 2002
Primary Specialty PEDIATRIC MEDICINE
Group Practice PAC ID 4183523210
Number of Group Practice Members 37
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100022 JACKSON HEALTH SYSTEM

Taxonomy Information

Taxonomy Code 2080P0208X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Infectious Diseases

Taxonomy Definition

A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
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/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558580522 Luis A Blanco Pediatrics 8752 Sw 8th St, Miami, FL 33174-3201 2007-04-25
1710047121 Alfredo Ivan Murciano Pediatrics 6537 Coral Way, Miami, FL 33155-1843 2006-12-08
1568458834 Pablo M Laufer Pediatrics 3200 Sw 60th Ct, Suite 206, Miami, FL 33155-4000 2005-09-22
1922552876 Pediatric Specialty Group, Inc. Pediatrics 3100 Sw 62nd Ave, Suite 206, Miami, FL 33155 2016-08-09
1134512064 Arsj Pediatrics Infectious Diseases Pediatrics 8940 N Kendall Dr, Suite 603e, Miami, FL 33176-2148 2015-03-17
1437292521 Pediatric Infectious Diseases LLC Pediatrics 3200 Sw 60th Ct, Suite 206, Miami, FL 33155-4000 2007-02-15
1831256809 Antonia Rosa Sanjorge Pediatrics 8940 N Kendall Dr, Suite 603e, Miami, FL 33176-2148 2007-01-02
1396770244 Gwendolyn B Scott Pediatrics 1601 Nw 12th Ave, Box 016960 M851, Miami, FL 33101-6960 2006-07-11
1932139391 Delia M Rivera Hernandez Pediatrics 1601 Nw 12th Ave, Box 016960 M851, Miami, FL 33101-6960 2006-07-03
1982633269 Charles D Mitchell Pediatrics 1601 Nw 12th Ave, Miami, FL 33101-6960 2006-06-30
Find all providers in MIAMI

Office Location

Street Address 1580 N.W. 10TH AVENUE, LOCATOR CODE D4-4
City MIAMI
State FL
Zip Code 33136

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437708872 Marie Jeanjean Genetic Counselor, MS 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 2019-09-09
1790344034 Hamada Albiesh Student in an Organized Health Care Education/Training Program 1611 Nw 12 Avenue/ Holtz Children Hospital, Miami, FL 33136 2019-06-11
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
1609430644 Paola Frattaroli Pericchi Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave. Central 600, Miami, FL 33136 2019-04-25
1285297895 Omar Munoz Student in an Organized Health Care Education/Training Program 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 2019-04-18
1902368244 Gabriella Andrea Lorusso Vivas Student in an Organized Health Care Education/Training Program 1611 Nw 12 Avenue, Miami, FL 33136 2019-04-04
1972064103 Luis Rafael Rivera Aguasvivas Student in an Organized Health Care Education/Training Program 1611-nw 12 Avenue, Holtz Building, East Tower 2169, Miami, FL 33136 2019-03-29
1285194514 Joseph Francis Geiger IIi Student in an Organized Health Care Education/Training Program 611 Nw 12 Avenue, Miami, FL 33136 2019-03-22
1124583802 Diane Garzon Social Worker 1120 Nw 14th St., University of Miami/early Steps Program, Miami, FL 33136 2019-02-06
1013402775 Erini Nessim Kostandy Student in an Organized Health Care Education/Training Program 1611 North West 12th Avenue, Miami, FL 33136 2018-06-26
Find all providers in zip 33136

Competitor

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City MIAMI
Zip Code 33136

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Dataset Information

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.

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