Individual
DIANA LAURA GONZALEZ VILLAFUERTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
703 N FLAMINGO RD, PEMBROKE PINES, FL 33028-1006
(954) 436-5000
Mailing address
8810 SW 123RD CT APT 209, MIAMI, FL 33186-1947
(754) 273-1302
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/25/2022
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