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Organization
GLEZ AND GLEZ S-CORP
Active
Organization
GLEZ AND GLEZ S-CORP
Active
Other names
GLEZ & GLEZ MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL D GONZALEZ (ADMINISTRATOR)
(305) 624-2700
Entity
Organization
Contact information
Practice address
3804 NW 167TH ST, OPA LOCKA, FL 33054-6232
(305) 624-2700
(305) 624-3154
Mailing address
3804 NW 167TH ST, OPA LOCKA, FL 33054-6232
(305) 624-2700
(305) 624-3154
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121482400
—
FL
05
—
266322800
—
FL
Enumeration date
09/26/2006
Last updated
04/02/2026
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