Organization
SUSANA GONZALEZ, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ESTHER ENCINOSA (DIRECTOR)
(305) 532-8355
Entity
Organization
Contact information
Practice address
1225 ALTON ROAD, MIAMI BEACH, FL 33139
(305) 532-8355
(305) 532-9675
Mailing address
1225 ALTON ROAD, MIAMI BEACH, FL 33139
(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
Enumeration date
07/03/2014
Last updated
05/03/2016
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