Individual
BRENDA MINERVA CISNEROS GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1005 JOE DIMAGGIO DR, HOLLYWOOD, FL 33021-5402
(954) 265-4461
Mailing address
17505 NW 67TH PL APT D11, HIALEAH, FL 33015-5845
(305) 399-2808
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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