Individual
DR. LEE R GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 AVE LAUREL, BAYAMON, PR 00956-4816
(787) 787-5151
(787) 269-0050
Mailing address
6201 N SUNCOAST BLVD, CRYSTAL RIVER, FL 34428-6712
(321) 578-8465
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
131735
FL
207RP1001X
Pulmonary Disease Physician
131735
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
131735
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
32279
OK
208D00000X
General Practice Physician
19931
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106548500
—
FL
Enumeration date
06/27/2013
Last updated
11/19/2020
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