Individual
DR. LUIS E GONZALEZ-MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 SW 62ND AVE STE 122, MIAMI, FL 33155-3009
(305) 662-8398
(305) 663-8581
Mailing address
3100 SW 62ND AVE STE 122, MIAMI, FL 33155-3009
(305) 662-8398
(305) 663-8581
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
ME41667
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043879100
—
FL
01
—
08449
BLUE CROSSBLUESHIELD
FL
Enumeration date
11/20/2006
Last updated
07/08/2007
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