Individual
JOSE JERSEY GONZALEZ HUERTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 N STATE ROAD 7, MARGATE, FL 33063-5727
(954) 974-0400
Mailing address
2801 N STATE ROAD 7, MARGATE, FL 33063-5727
(954) 974-0400
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME122607
FL
207RP1001X
Pulmonary Disease Physician
M-1886
GU
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M-1886
GUAM BOARD MEDICAL EXAMINERS
GU
Enumeration date
04/01/2009
Last updated
01/27/2022
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