| Edelio Gonzalez Dmd, Pa | |
|
1191 W 37th St 5 Hialeah FL 33012-4941 | |
| (305) 826-9642 | |
| (305) 819-8014 |
| Full Name | Edelio Gonzalez Dmd, Pa |
|---|---|
| Speciality | Dentist |
| Location | 1191 W 37th St, Hialeah, Florida |
| Authorized Official Name and Position | Edelio Gonzalez (PRESIDENT) |
| Authorized Official Contact | 3058269642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edelio Gonzalez Dmd, Pa 1191 W 37th St 5 Hialeah FL 33012-4941 Ph: (305) 826-9642 | Edelio Gonzalez Dmd, Pa 1191 W 37th St 5 Hialeah FL 33012-4941 Ph: (305) 826-9642 |
| NPI Number | 1871684183 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871684183 | NPI | - | NPPES |
| 0171853000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN00013074 (Florida) | Primary |
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