Individual
DR. SANDRA M GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Mailing address
10865 SW 153RD AVE, MIAMI, FL 33196-3571
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME60524
FL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
ME60524
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14251
MEDICARE CORE
FL
Enumeration date
09/19/2005
Last updated
07/26/2021
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