Individual
ERNESTO MATOS-GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4385 W 16TH AVE, HIALEAH, FL 33012-7628
(305) 824-0637
Mailing address
11031 NE 6TH AVE, MIAMI, FL 33161-7182
(305) 398-6102
(305) 757-4465
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME 91140
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270568100
—
FL
Enumeration date
05/12/2006
Last updated
01/09/2019
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