| Blanca Nelida Gonzalez Md Pa | |
|
1435 W 49th Pl Ste 701 Hialeah FL 33012-3158 | |
| (305) 351-2405 | |
| (305) 290-2037 |
| Full Name | Blanca Nelida Gonzalez Md Pa |
|---|---|
| Speciality | General Practice |
| Location | 1435 W 49th Pl Ste 701, Hialeah, Florida |
| Authorized Official Name and Position | Blanca N Gonzalez (OWNER) |
| Authorized Official Contact | 3053512405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blanca Nelida Gonzalez Md Pa 1435 W 49th Pl Ste 701 Hialeah FL 33012-3158 Ph: (305) 351-2405 | Blanca Nelida Gonzalez Md Pa 1435 W 49th Pl Ste 701 Hialeah FL 33012-3158 Ph: (305) 351-2405 |
| NPI Number | 1558632646 |
|---|---|
| Provider Enumeration Date | 01/20/2012 |
| Last Update Date | 06/17/2024 |
| Medicare PECOS PAC ID | 5890942338 |
|---|---|
| Medicare Enrollment ID | O20120905000804 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558632646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME106369 (Florida) | Primary |
| Provider Name | Blanca N Gonzalez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598087280 PECOS PAC ID: 7214068634 Enrollment ID: I20100629000752 |
| Provider Name | Eduardo Antonio Arias Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194319145 PECOS PAC ID: 2163813486 Enrollment ID: I20211221002632 |
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