# RAFAEL GONZALEZ MD PA

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

## Provider details

- **NPI number:** 1174776686
- **Authorized official:** DR. RAFAEL GONZALEZ MD (PRES)
- **Authorized official phone:** (305) 633-3776

## Contact information

- **Practice address:** 1479 NW 27TH AVE, MIAMI, FL 33125-2133
- **Practice address phone:** (305) 633-3776
- **Practice address fax:** (305) 633-4240
- **Mailing address:** 1479 NW 27TH AVE, MIAMI, FL 33125-2133
- **Mailing address phone:** (305) 633-3776
- **Mailing address fax:** (305) 633-4240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/28/2008
- **Last updated:** 10/28/2008