Individual
DR. LUIS ALFONSO GONZALEZ MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1001 E LEIGH ST, RICHMOND, VA 23298-5004
(804) 828-9331
(804) 806-7587
Mailing address
GME ADMIN, 1200 EAST BROAD STREET, BOX 980257, RICHMOND, VA 23298
(804) 828-9331
(804) 806-7587
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2025
Last updated
04/12/2025
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