Space Coast Urology, LLC
NPI 1336337690 · Specialist · Titusville, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Space Coast Urology, LLC is a Specialist organization in Titusville, FL (NPI 1336337690).
Provider details
- NPI number
- 1336337690
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Justo Gonzalez, Urologist(321) 268-4693
- License
- ME67177 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Justo Gonzalez, M.D.
Registry dates
- Enumerated
- 2007-10-11
- Last updated
- 2009-03-13
Frequently asked questions
- What is Space Coast Urology, LLC's NPI number?
- Space Coast Urology, LLC's National Provider Identifier (NPI) is 1336337690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Space Coast Urology, LLC?
- Space Coast Urology, LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Space Coast Urology, LLC located?
- Space Coast Urology, LLC's practice location on file with NPPES is 2203 Garden St, Titusville, FL 32796-2577.
- What is Space Coast Urology, LLC's phone number?
- The practice phone number listed in the NPPES registry for Space Coast Urology, LLC is (321) 268-4693.
- Does Space Coast Urology, LLC accept Medicare?
- Space Coast Urology, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Space Coast Urology, LLC?
- The authorized official listed on Space Coast Urology, LLC's NPPES record is Justo Gonzalez, Urologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Space Coast Urology, LLC's NPI active?
- Yes — Space Coast Urology, LLC's NPI (1336337690) is active in the NPPES registry as of the last update on 2009-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.