Individual
MR. CHRISTOPHER LUIS GONZALEZ PERERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
557 W 45TH PL, HIALEAH, FL 33012-3862
(305) 458-0848
Mailing address
557 W 45TH PL, HIALEAH, FL 33012-3862
(305) 458-0848
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
9547263
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
OTHER
—
Enumeration date
03/03/2021
Last updated
03/03/2021
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