Individual
DR. SUSANA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1225 ALTON RD, MIAMI BEACH, FL 33139-3809
(305) 532-8355
(305) 532-9675
Mailing address
1225 ALTON RD, MIAMI BEACH, FL 33139-3809
(305) 532-8355
(305) 532-9675
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME0052209
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048427000
—
FL
01
—
08213
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/26/2006
Last updated
11/06/2015
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