Doctor Name: | DR. JOSE A GONZALEZ |
NPI Number: | 1184697732 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME0055443 |
Business Practice Address: | 1340 W 68th St Hialeah, FL - 330144526 |
Business Phone Number: | 3055567245 |
Business Fax Number: | 3055589426 |
Mailing Address: | 1340 W 68th St, HIALEAH |
State: | FL |
Postal Code: | 330144526 |
Phone Number: | 3055567245 |
Fax Number: | 3055589426 |
NPI Enumeration Date: | 02/13/2006 |
NPI Last Update Date: | 09/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME0055443 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |