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

Nicole Gonzalez

Individual provider Physician Assistant · NPI 1356121818

Nicole Gonzalez is a Physician Assistant in Coral Gables, Florida. Qualified in 2023, 3 years ago. Practices with Physician Practices of Msmc LLC, a 178-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
Specialties on file
5
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Practice location Address checks out

1451 Coruna Ave
Coral Gables, FL 33156-6315
Phone: (305) 298-4188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA911703 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA9117903
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9117903
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356121818
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 3, 2023
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024
Mailing address1451 Coruna Ave, Coral Gables, FL 33156-6315

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Physician Practices Of Msmc Llc — 178 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Coral Gables