Individual
IVAN ALBERTO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1580 N.W. 10TH AVENUE, LOCATOR CODE D4-4, MIAMI, FL 33136
(305) 243-6522
(305) 243-5562
Mailing address
1580 N.W. 10TH AVENUE, LOCATOR CODE D4-4, MIAMI, FL 33136
(305) 243-6522
(305) 243-5562
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
ME 102105
FL
Other
Enumeration date
04/10/2007
Last updated
08/12/2008
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