Individual
JAVIER M GONZALEZ
Active
Individual
JAVIER M GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME83005
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03015
BCBS OF FL
FL
01
—
0405694
CIGNA
DE
01
—
060065353
MEDICARE RR
FL
01
—
11319381
CAQH
FL
05
—
263252700
—
FL
01
—
269859500
MEDICAID GROUP
FL
01
—
77940
MEDICARE GROUP ID
FL
01
—
CF1416
MEDICARE RR GROUP
FL
01
—
ME83005
STATE LICENSE NUMBER
FL
Enumeration date
12/01/2005
Last updated
03/05/2013
Update your record
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