Raul Ebran-gonzalez, MD | |
8504 Nw 103rd St, Hialeah Gardens, FL 33016-4870 | |
(786) 420-5111 | |
(305) 901-1716 |
Full Name | Raul Ebran-gonzalez |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 8504 Nw 103rd St, Hialeah Gardens, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912231853 | NPI | - | NPPES |
015355500 | Medicaid | FL | |
ME115255 | Other | FL | FLORIDA MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME115255 (Florida) | Primary |
Entity Name | Galenos Medical Center Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912572496 PECOS PAC ID: 8325431521 Enrollment ID: O20220211000194 |
Mailing Address | Practice Location Address |
---|---|
Raul Ebran-gonzalez, MD 8504 Nw 103rd St, Hialeah Gardens, FL 33016-4870 Ph: (786) 420-5111 | Raul Ebran-gonzalez, MD 8504 Nw 103rd St, Hialeah Gardens, FL 33016-4870 Ph: (786) 420-5111 |
Anarella Abrantes, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8474 Nw 103rd St # G201, Hialeah Gardens, FL 33016 Phone: 786-253-1330 | |
Dr. Gilberto Perez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8302 Nw 103rd St Ste 201, Hialeah Gardens, FL 33016 Phone: 786-651-2442 Fax: 786-528-8585 |