Individual
PEDRO ISAAC GONZALEZ PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2140 W 68TH ST STE 200, HIALEAH, FL 33016-1815
(305) 203-0808
Mailing address
1532 NW 138TH TER, PEMBROKE PINES, FL 33028-3029
(786) 482-0786
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-215
WI
Other
Enumeration date
02/08/2023
Last updated
03/30/2023
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