Individual
DR. RAFAEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1479 NW 27TH AVE, MIAMI, FL 33125-2133
(305) 633-3776
(305) 633-4240
Mailing address
14332 SW 40TH TER, MIAMI, FL 33175-7823
(305) 633-3776
(305) 633-4240
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME89042
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME89042
FL MEDICAL LICENSE
FL
Enumeration date
05/20/2006
Last updated
09/05/2007
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