# JOSE A GONZALEZ

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013336478
- **Authorized official:** JOSE A GONZALEZ M.D. (OWNER)
- **Authorized official phone:** (305) 556-7245

## Contact information

- **Practice address:** 1340 W 68TH ST, HIALEAH, FL 33014-4526
- **Practice address phone:** (305) 556-7245
- **Practice address fax:** (305) 558-9426
- **Mailing address:** 1340 W 68TH ST, HIALEAH, FL 33014-4526
- **Mailing address phone:** (305) 556-7245
- **Mailing address fax:** (305) 558-9426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME0055443 | FL | Yes |

## Other

- **Enumeration date:** 04/14/2014
- **Last updated:** 04/14/2014