Individual
JOSE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1321 NW 14TH ST, MIAMI, FL 33125-1673
(305) 689-5464
(305) 689-3994
Mailing address
1321 NW 14TH ST, MIAMI, FL 33125-1673
(305) 689-5464
(305) 689-3994
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME70122
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250462600
—
FL
01
—
31696
BCBS
FL
Enumeration date
01/11/2006
Last updated
04/02/2012
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