Individual
RAFAEL EUGENIO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 SW 62 AVENUE, MIAMI, FL 33255
(305) 663-8409
(305) 663-8573
Mailing address
PO BOX 558750, MIAMI, FL 33255-8750
(305) 663-8409
(305) 663-8573
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME54893
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME54893
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086400
—
FL
Enumeration date
11/01/2006
Last updated
12/01/2022
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