Individual
MAIRELYS GONZALEZ BOSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9750 SW 24TH ST, MIAMI, FL 33165-7598
(786) 456-9003
(786) 456-9005
Mailing address
9750 SW 24TH ST, MIAMI, FL 33165-7598
(786) 456-9003
(786) 456-9005
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME128528
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021581900
—
FL
Enumeration date
01/18/2013
Last updated
07/21/2022
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