| Angela Gonzalez Md Pa | |
|
13550 Sw 88 St Suite 210 Miami FL 33186 | |
| (305) 387-0020 | |
| (305) 387-0023 |
| Full Name | Angela Gonzalez Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 13550 Sw 88 St, Miami, Florida |
| Authorized Official Name and Position | Angela Gonzalez (PRESIDENT) |
| Authorized Official Contact | 3053870020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Gonzalez Md Pa 13550 Sw 88 St Suite 210 Miami FL 33186 Ph: (305) 387-0020 | Angela Gonzalez Md Pa 13550 Sw 88 St Suite 210 Miami FL 33186 Ph: (305) 387-0020 |
| NPI Number | 1548442510 |
|---|---|
| Provider Enumeration Date | 12/03/2007 |
| Last Update Date | 12/03/2007 |
| Medicare PECOS PAC ID | 8426068305 |
|---|---|
| Medicare Enrollment ID | O20060424000228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548442510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0046012 (Florida) | Primary |
| Provider Name | Angela Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700887346 PECOS PAC ID: 3072552827 Enrollment ID: I20050430000014 |
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