Individual
MAURA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
8380 SW 8TH ST, MIAMI, FL 33144-4180
(305) 262-8984
(305) 262-8985
Mailing address
8231 SW 29TH ST, MIAMI, FL 33155-2424
(305) 262-8984
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2843
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340117100
—
FL
01
—
480034285
MEDICARE RAILROAD
FL
01
—
65665
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/09/2007
Last updated
05/04/2017
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