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

Miranda V Gonzalez, MD

Individual provider Family Medicine Physician · NPI 1205571270

Miranda V Gonzalez, MD is a Family Practice in Liverpool, New York. Qualified in 2022, 4 years ago. Practices with St Josephs Medical PC, a 385-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5100 W Taft Rd Ste 1D
Liverpool, NY 13088-3808
Phone: (315) 452-2828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 301 Prospect Ave, Syracuse, NY 13203-1899 — (315) 448-5111

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 339554 (NY)

Record details

NPI number1205571270
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 3, 2022
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025
Mailing address301 Prospect Ave # Mso, Syracuse, NY 13203-1807

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice St Josephs Medical Pc — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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