Individual
DR. ALFONSO GONZALEZ-RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1707 N MILLS AVE, ORLANDO, FL 32803-1851
(407) 647-3960
(407) 367-0856
Mailing address
917 RINEHART RD, STE 1051, LAKE MARY, FL 32746-4853
(407) 647-3960
(407) 367-0856
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
16463
PR
207R00000X
Internal Medicine Physician
Primary
ME111016
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008797500
—
FL
01
—
14HQ5
BCBS
FL
01
—
P01092685
RAILROAD MEDICARE
FL
Enumeration date
07/25/2006
Last updated
01/11/2017
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