Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jose Edwardo Gonzalez

Individual provider Geriatric Medicine (Family Medicine) Physician · NPI 1164637674

Dr. Jose Edwardo Gonzalez is a Family Practice in Miami, Florida. Qualified in 1996, 30 years ago. Practices with Leon Medical Centers LLC, a 106-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
30
Licensed in
IN
In the registry since
2007
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Practice location Address checks out

12515 SW 88th St
Miami, FL 33186-1829
Phone: (305) 642-5366
Fax: (305) 644-6407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X · Licence 01063687A (IN)

Record details

NPI number1164637674
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 10, 2007
Last updated in NPPESJanuary 15, 2021
Certification dateJanuary 15, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Leon Medical Centers Llc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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