Individual
ALBERTO JORGE GONGORA MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
7050 W FLAGLER ST APT 3, MIAMI, FL 33144-2749
(786) 515-3685
Mailing address
7050 W FLAGLER ST APT 3, MIAMI, FL 33144-2749
(786) 515-3685
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11008846
FL
Other
Enumeration date
08/31/2015
Last updated
08/27/2020
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